52-year-old Mr. Xie often has fever and bilateral chest pain so that he can't sleep all night, and he has been going to many hospitals for months but he can't find **, suffering from illness, and once wanted to commit suicide, but fortunately, the medical team of Hunan Chest Hospital tried to find "** so that Mr. Xie found a life-saving rope before being overwhelmed by despair."
Two months ago, Mr. Xie, who lives in Yiyang, Hunan Province, had an interval fever for no reason, and the pain in both chests was unbearable, and he took a deep breath and felt that his chest cavity was pressed by someone with a stone slab weighing 10,000 catties.
At the end of November, accompanied by his family, he went to a tertiary hospital in Hunan for treatment, and the CT of the hospital showed that the thoracic vertebrae were damaged, and it was recommended to rule out tuberculosis before considering the possibility of tumor, so Mr. Xie came to the Cancer Diagnosis and Treatment Center of Hunan Chest Hospital to seek further **.
After being admitted to the hospital, Xu Ruocai, director of the Cancer Diagnosis and Treatment Center of Hunan Chest Hospital, carefully reviewed Mr. Xie's chest CT examination data and improved the relevant examinations for tuberculosis, but strangely, no effective evidence was found to diagnose tuberculosis. Who is the ** that caused the serious bone damage of the thoracic vertebrae?Brucella?Luca bacteria?Pyogenes?Or is it a tumor?
Xu Ruocai, through the medical department, organized a multidisciplinary joint consultation, and a number of experts combined with Mr. Xie's relevant examination data, considering that the lung shadow and thoracic vertebrae bone destruction are caused by the same disease, and considering the risk that bone puncture may destroy the thoracic vertebrae, it is recommended to undergo bronchoscopic alveolar lavage NGS examination.
At the doctor's suggestion, Mr. Xie underwent a bronchoscopy and finally found **: Mycobacterium tuberculosis under bronchoscopyConfirmed diagnosis of pulmonary tuberculosis combined with bone tuberculosis. After a month of standardized anti-tuberculosis**, the chest pain has been significantly relieved, I no longer wake up in the middle of the night, my mental state is much better, and my face is smiling again.
Xu Ruocai introduced that tuberculosis first occurs in the lungs, and after the lung infection is transmitted to the whole body through the blood. Bone tuberculosis is one of the secondary forms of tuberculosis, because the Mycobacterium tuberculosis develops slowly on the bones, it usually takes 3-6 months after infection to show obvious symptoms, which is not easy to attract people's attention.
Therefore, Xu Ruocai reminded that once the patient has bone pain accompanied by repeated low-grade fever in the afternoon, night sweats and other symptoms, and the routine cold ** is ineffective, it is best to go to a tuberculosis hospital for examination to screen whether he has bone tuberculosis. At the same time, people with low immunity may also induce bone tuberculosis, so it is recommended that everyone stay up less late, avoid overwork, exercise more, and enhance resistance.
Manuscript**: Hunan Provincial Chest Hospital.
Author: Luo Mengyin, Chen Yanan.