medigraphic.com
ISSN 1561-3186 (Electronic)

2014, Number 2

<< Back Next >>

Rev Acta Médica 2014; 15 (2)

Extrapulmonary tuberculosis in immunocompetent patient

Chao PC, Vallejo CMJ, Valdés AK, Roca CV

Language: Spanish
References: 9
Page:
PDF size: 66.10 Kb.


ABSTRACT

Tuberculosis is one of the oldest diseases known to humans, caused by mycobacterium tuberculosis complex, a bacterium, which usually affects lungs and other organs. The objective is to present a case of extrapulmonary tuberculosis in an immunocompetent patient. A 29 year-old male patient, who was assisted due to sudden dyspnea in daily activities, is studied. After relevant studies, results showed radiopacity of the left hemithorax, the cytochemical study showed a predominance of lymphocytes fluid and pleural biopsy showed the presence of granulomas. Tuberculosis should be within the first diagnostic hypotheses before a pleural effusion, even if this patient has good general condition and is immunocompetent.


REFERENCES

  1. Zumla A, Raviglione M, Hafner R. Current concepts: tuberculosis. N Engl J Med. 2013;368:745-55.

  2. Ellner JJ. Tuberculosis. In: Goldman L, Schafer AI, editors. Goldman's Cecil Medicine. 24th ed. Philadelphia: Elsevier; 2011.

  3. Fitzgerald DW, Sterling TR, Haas DW. Mycobacterium tuberculosis. In: Mandell GL, Bennett JE, Dolan R, Mandell D, editors. Bennett’s principles and practice of infectious diseases. 7th ed. Philadelphia: Elsevier; 2009.

  4. Gopi A, Madhavan SM, Sharma SK, Sahn SA. Diagnosis and treatment of tuberculous pleural effusion in 2006. Chest. 2007;131:880. PubMed PMID: 17356108.

  5. Torgersen J, Dorman SE, Baruch N, Hooper N, Cronin W. Molecular epidemiology of pleural and other extrapulmonary tuberculosis: a Maryland state review. Clin Infect Dis. 2006;42:1375. PubMed PMID: 16619148.

  6. Baumann MH, Nolan R, Petrini M, Lee YC, Light RW, Schneider E. Pleural tuberculosis in the United States: incidence and drug resistance. Chest. 2007;131:1125. PubMed PMID: 17426219.

  7. Villegas MV, Labrada LA, Saravia NG. Evaluation of polymerase chain reaction, adenosine deaminase, and interferon-gamma in pleural fluid for the differential diagnosis of pleural tuberculosis. Chest. 2000;118:1355. PubMed PMID: 11083686.

  8. Jiang J, Shi HZ, Liang QL, Qin SM, Qin XJ. Diagnostic value of interferon-gamma in tuberculous pleurisy: a metaanalysis. Chest. 2007;131:1133. PubMed PMID: 17426220.

  9. Losi M, Bossink A, Codecasa L, Jafari C ,Ernst M, Thijsen S, et al. Use of a T-cell interferon-gamma release assay for the diagnosis of tuberculous pleurisy. Eur Respir J. 2007;30:1173. PubMed PMID: 17715165.




2020     |     www.medigraphic.com