| Journal: | Jornal brasileiro de pneumologia |
| Database: | PERIÓDICA |
| System number: | 000297587 |
| ISSN: | 1806-3713 |
| Authors: | Seiscento, Marcia1 Bombarda, Sidney Carvalho, Adriana Castro de Campos, Jose Ribas Milanez de Teixeira, Lisete |
| Institutions: | 1Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil |
| Year: | 2005 |
| Season: | Sep-Oct |
| Volumen: | 31 |
| Number: | 5 |
| Pages: | 459-463 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | Mycobacterium kansasii, a nontuberculous mycobacterium, can cause pulmonary disease presenting clinical and radiological similarities to tuberculosis. M. kansasii infection has been associated with risk factors such as bronchiectasis, chronic obstructive pulmonary disease, tuberculosis sequelae, pneumoconiosis and immunosuppression. Herein, we describe a case of pleural effusion in a 67-year-old patient with chronic obstructive pulmonary disease and a history of pulmonary tuberculosis. The histological analysis demonstrated a granulomatous chronic process and acid-fast bacilli positivity, suggesting a diagnosis of pleural tuberculosis. M. kansasii was detected both in pleural fluid cultures and in cultures of tissue samples. We discuss the differential etiologic diagnosis with other infectious agents of granulomatous diseases, and we address treatment options |
| Portuguese abstract | O Mycobacterium kansasii, micobactéria não tuberculosa, pode causar doença pulmonar com manifestação clínico-radiológica semelhante à tuberculose. Estão associados fatores de risco: bronquiectasias, doença pulmonar obstrutiva crônica, seqüela de tuberculose, pneumoconiose e imunossupressão. Relata-se um caso de derrame pleural, em paciente de 67 anos, com doença pulmonar obstrutiva crônica e antecedente de tuberculose. O diagnóstico de tuberculose pleuropulmonar foi sugerido pelo exame anatomopatológico de pleura, que demonstrou processo crônico granulomatoso e presença de bacilo álcool-ácido resistente. Nas culturas de líquido e tecido pleurais foi detectado Mycobacterium kansasii. Discute-se o diagnóstico diferencial com outros agentes infecciosos na doença granulomatosa pleural e tratamento |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Geriatría, Neumología, Mycobacterium kansasii, Micobacteriosis, Derrame pleural, Infecciones bacterianas |
| Keyword: | Medicine, Diagnosis, Geriatrics, Pneumology, Mycobacterium kansasii, Mycobacteriosis, Pleural effusion, Bacterial infections |
| Full text: | Texto completo (Ver HTML) |
