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目的回顾性分析3例扁桃体结核。方法确诊3例患者同时为扁桃体和淋巴结结核。查体见浅表淋巴结无肿大,咽腔略充血,双侧腭舌弓慢性充血,双侧扁桃体2度肿大,双侧对称,表面可见干酪样物散在,干酪样物色灰黄,无臭味。影像学检查提示,无干酪样坏死的肉芽肿。病理检查结果:干酪性肉芽肿和抗酸杆菌(结核杆菌)培养阳性。结果与结论经异烟肼、利福平、吡嗪酰胺和链霉素治疗后,3例患者的C反应蛋白水平正常化。
Objective To retrospectively analyze 3 cases of tonsillar tuberculosis. Methods Three patients diagnosed with tonsil and lymph node tuberculosis at the same time. Check the body to see superficial lymph nodes without swelling, slightly pharyngeal congestion, bilateral palatal tongue chronic congestion, bilateral tonsil enlargement, bilateral symmetry, the surface can be seen cheese-like scattered, cheese-like yellowish, odorless taste. Imaging examination prompted no cases of caseous necrosis granuloma. Pathological examination results: cheese granuloma and acid-fast bacilli (Mycobacterium tuberculosis) culture positive. RESULTS AND CONCLUSION Three patients had normalized C-reactive protein levels after treatment with isoniazid, rifampicin, pyrazinamide, and streptomycin.