30 cases of basal segment of lower lobe tuberculosis Misdiagnosis of X.docVIP

 PAGE \* MERGEFORMAT 8 30 cases of basal segment of lower lobe tuberculosis Misdiagnosis of X [Keywords:] tuberculosis misdiagnosed Radiology Sputum positive or occurring in both lungs and lower on the dorsal posterior tip section, with typical symptoms and imaging findings of sputum negative pulmonary tuberculosis easily confirm the diagnosis. Basal segment of lower lobe tuberculosis are rare, due to lack of typical clinical manifestations, X-ray image is not typical, in part, were more subtle, positive rate of sputum examination is not higher because, often lead to misdiagnosis. The author analyzed 30 cases of basal segment of lower lobe tuberculosis associated clinical X ray data to study the causes of misdiagnosis, sum up experiences and lessons to raise awareness of the lower lobe X-ray diagnosis of pulmonary tuberculosis levels. Materials and Methods 1. General Information The lower lobe of the 30 cases of misdiagnosis of tuberculosis cases, 18 males and 12 females, aged 19 to 57 years, 10 cases of fever, cough in 17 cases, hemoptysis in 8 cases, 6 cases of bloody sputum, night sweats, 3 cases of chest pain 4 cases. WBC increased in 13 cases, ESR faster in 12 cases, 14 cases of sputum-positive, PPD test was positive in 21 cases. 2. Auxiliary examination 30 patients in this group are lateral chest radiographs were taken, 20 cases of chest CT scanning to increase the lesion is located in one or both lower lobe basal segment, in which 16 cases of basal segment of right lower lobe, left lower lobe basal segment in 11 cases, double 3 cases of basal segment of lower lobe. lesions within the basal segment of lower lobe in 16 cases. before the basal segment in 4 cases, 3 cases with honeycomb-like hollow. After the basal segment in 10 cases, of which 6 cases with thick hollow diameter of about 2 3 cm, a fluid level. The group of 30 patients after anti-tuberculosis chemotherapy under the tuberculosis, in line with the evolution of tuberculosis.