A Case of Disseminated (3 organs) and Complicated Tuberculosis Infection with Multiple Endocrine Disturbances

瀰漫性結核病感染併發多重內分泌失調－病例報告

林百揚(Pai-Yang Lin) ； 林俊佃(Jiunn-Diann Lin) ； 余明治(Ming-Chih Yu) ； 白冠壬(Kuan-Jen Bai) ； 林賢君(Shian-Jiun Lin) ； 張哲華(Jer-Hwa Chang)

《胸腔醫學》 28卷4期 (2013/08) Pp. 222-227

摘要

我們報告一名22歲女姓同時有瀰漫性結核菌感染併發多重內分泌失調的病例。病人有粟粒性肺結核、結核性腦膜炎及結核腫、以及腸結核。病人同時有多重內分泌失調，包含甲狀腺功能低下，性腺功能低下，以及生長激素不足。在投與有效的抗結核病藥物的治療以及5個月甲狀腺素補充後，所有內分泌失調的問題，特別是甲狀腺功能都已回復到正常的範圍。在目前已發表的病例報告中，並沒有關於瀰漫性結核菌感染併發多重內分泌失調的病例，本篇論文係首篇探討此類案例之文獻。

關鍵字

瀰漫性結核病 ； 性腺功能低下 ； 甲狀腺功能低下 ； 腦下腺功能低下

並列摘要

We reported the case of a 22-year-old female presenting with disseminated and complicated tuberculosis (TB) infection with multiple endocrine disturbances. The patient had miliary pulmonary TB, TB meningitis with tuberculoma, and tuberculous enteritis. She also had multiple endocrine disturbances, including hypothyroidism, hypogonadism, and growth hormone deficiency. After 5 months of thyroxin supplement, all the endocrine disturbances, especially of the thyroid, had returned to normal under effective anti-tuberculous drug treatment. To now the best of our knowledge, there has been no published report such as ours of a case of disseminated and complicated TB with endocrine disturbances.

並列關鍵字

disseminated tuberculosis ； hypogonadism ； hypothyroidism ； hypopituitarism