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Diagnosis and Treatment of Submandibular Tuberculous Lymphadenitis in Children: Report of Four Cases

顎下淋巴腺結核病-四病例報告

摘要


全世界肺結核與肺外結核病患持續增加,目前台灣每十萬人口結核病的發病率為66.67,是美國的13倍、日本的2.7倍;台灣因結核病的死亡率為每十萬人口5.8,是美國的19倍、日本的3倍,所以結核病一直是台灣十年來患病人數及死亡人數最多的傳染病,顯然我們對結核病建立正確的防治觀念還要更努力。本文提報四例兒童因急性顎下淋巴腺結腫脹來求診而被診斷出顎下淋巴腺結核病,四位病童都無肺結核病史或接觸史。本文特別回顧文獻就牙醫師對顎下淋巴線結核病在早期診斷上所扮演角色加以討論,並探討頸部結核病的區別診斷方法與治療。

並列摘要


Both pulmonary and extrapulmonary tuberculosis are on the rise around the world. We described the characteristic features of submandibular tuberculous lymphadenitis in four children who presented with rapidly growing submandibular mass without lung involvement in three boys and combined with pulmonary tuberculosis in one girl. Special emphasis was put on the diagnosis and treatment of submandibular tuberculous lymphadenitis.

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