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ISSN 1029-3019 (Electronic)

2013, Number 05

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MediSan 2013; 17 (05)

Death from miliary tuberculosis

Marrero RH

Language: Spanish
References: 10
Page: 862-866
PDF size: 105.33 Kb.


ABSTRACT

A case report of an elderly man in senile and malnourished state was described, who had prolonged febrile syndrome and was admitted to "Dr "Ambrosio Grillo Portuondo" Clinical and Surgical Teaching Hospital of Santiago de Cuba, but a definitive diagnosis could not be obtained with complementary tests. Later he had cardiovascular decompensation and was transferred to the Intensive Care Unit, where he underwent an emergent chest radiograph, which showed characteristic lesions of miliary tuberculosis. Consequently, pulmonary specialists were consulted and it was decided to start treatment with antitubercular drugs; however, the patient died a day after the beginning of therapy. The autopsy showed a nonspecific chronic granulomatosis, which results were only confirmed 2 months later, when the culture of bronchial secretions was positive (coding 7) for Mycobacterium tuberculosis.


REFERENCES

  1. Roca Goderich R, Smith Smith VV, Paz Presilla E, Losada Gómez J, Serret Rodríguez B, Llamos Sierra N, et al. Temas de medicina interna. 4 ed. La Habana: Editorial Ciencias Médicas; 2002: T 1.

  2. Cuba. Ministerio de Salud Pública. Programa Nacional de Control de la Tuberculosis en Cuba. La Habana: Editorial Ciencias Médicas; 2010.

  3. Iseman MD. Tuberculosis. En: Arthur Ausiello D, Goldman L. Cecil. Tratado de medicina interna. 23 ed. Madrid: Elsevier; 2009. p. 1724-32.

  4. Álvarez Sintes R, Díaz Alonso G, Salas Mainegra I, Lemus Lago EM, Batista Moliner R, Álvarez Villanueva R, et al. Temas de medicina general integral. La Habana: Editorial Ciencias Médicas; 2001: t 2.

  5. Farreras R, Rozman C. Tratado de medicina interna. 14 ed. Madrid: Harcourt-Brace; 1996. p. 292.

  6. Valdés García L. Enfermedades emergentes y reemergentes. La Habana: MINSAP; 2008. p. 81-2006.

  7. Cuba. Ministerio de Salud Pública. Programa Nacional de Control de la Tuberculosis en Cuba. Manual de normas y procedimientos. 2 ed. La Habana: Editorial Ciencias Médicas; 2009.

  8. Marrero Figueroa A, Cué Brugueras M. Tuberculosis: una revisión para médicos de la atención primaria. RESUMED. 1998; 11(4): 196-209.

  9. Organización Mundial de la Salud. Informe mundial sobre la tuberculosis 2012. Ginebra: OMS; 2012.

  10. Cayla JA, Jansa JM. Sida y tuberculosis: confluencia de una nueva epidemia y una vieja endemia. Arch Bronconeumol. 1992; 28(1): 21-6.




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