發生於紅斑性狼瘡病人的結核菌性膿瘍併發血小板低下：一臨床病例報告

Intra-abdominal abscess of tuberculosis associated thrombocytopenia in a patient with systemic lupus erythematosus

結核菌感染是一個複雜且具威脅性的感染性疾病。結核分枝桿菌感染，特別是合併腹腔內膿瘍在全身性紅斑性狼瘡病患身上並不多見。過去文獻曾報告過結核菌感染具有多種血液系統異常表現。然而結核菌感染合併血小板低下甚少被報告發生於全身性紅斑性狼瘡病患。我們報告一位28歲全身性紅斑性狼瘡的女性病患因結核菌感染合併腹腔膿瘍而發生血小板低下。在治療結核菌感染後, 血小板數迅速回昇而且腹腔內膿瘍完全消失。

Tuberculosis is a complex, potentially life-threatening infectious disease. Mycobacterium tuberculosis infection, associated with intra-abdominal abscess formation was not common in systemic lupus erythematosus (SLE) patients. Multiple hematological abnormalities had been reported in tuberculosis infection. However, tuberculosis infection associated with thrombocytopenia was quite rare in patients with SLE. We reported a 28-year-old woman with SLE who developed intraabdominal abscess of Mycobacterium tuberculosis infection. Thrombocytopenia occurred during active tuberculosis infection and rapidly recovered after effective anti-tuberculosis therapy within two weeks. The intra-abdominal abscess completely resolved after one month of anti-tuberculosis therapy.