小美腹痛入院,阴道却可见脓疮,只是单纯的阴道隔血肿伴脓疮吗?为了进一步诊治,该女孩接受了阴道隔切除术,手术引流约700-800mL的脓液。 将手术收集的脓液送往显微镜检查,行革兰氏染色、抗酸杆菌涂片培养和盒基核酸扩增试验(CBNAAT),CBNAAT结果显示小美竟是得了传染病!看到这,大家有猜到小美得了什么病吗? 参考文献:[1]Deepika D, Goyal LD. Rare clinical presentation of genital tuberculosis in an adolescent girl. BMJ Case Rep. 2024 Jul 5;17(7):e252370. doi: 10.1136/bcr-2022-252370. PMID: 38969388.[2]肖伦菊.女性生殖器结核的防治及护理[J].世界最新医学信息文摘,2016,16(06):187+190.[3]董晓瑜,姚玉洁,魏晗,等.女性生殖器结核83例临床分析[J].中国生育健康杂志,2015,26(06):542-544.[4]Bhera NR, Vijayshanti T, Mishra B. Genital tuberculosis in a 6-year-old girl. Int J Recent Trends Sci Technol 2015;15:418–9.4 Yanagizawa R, Inoue S, Itakura H, et .[5]Yanagizawa R, Inoue S, Itakura H, et al. A case of urinary retention due to tuberculous pyometra. Nihon Hinyokika Gakkai Zasshi 1992;83:690–3.