| Revista: | Jornal brasileiro de patologia e medicina laboratorial |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000297267 |
| ISSN: | 1676-2444 |
| Autores: | Joaquim, Andrei Fernandes1 Carandina, Luana1 Defaveri, Julio |
| Instituciones: | 1Universidade Estadual Paulista "Julio de Mesquita Filho", Faculdade de Medicina, Botucatu, Sao Paulo. Brasil |
| Año: | 2006 |
| Periodo: | Jun |
| Volumen: | 42 |
| Número: | 3 |
| Paginación: | 193-200 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | Among 6,316 necropsies performed in the period 1969-2000 at the Department of Pathology of Botucatu Medical School UNESP, 240 were of tuberculosis. Among them, 117 were registered as the principal disease (tuberculosis/principal disease group) and 123, as associated to another disease (tuberculosis/associated disease group). In the tuberculosis-principal disease group, 100% had active tuberculosis, 80 patients were male and 37 were female, with mean age of 47.7 years. Cachexia (37.2%) and cor pulmonale (23.7%) were the most prevalent comorbities in this group. The lungs were affected in 95.7% of the cases, followed by lymph nodes (38.9%) and pleura (27.1%). The morphology and frequency of pulmonary lesions were: 1. miliar: 58.4%; 2. caverns, 56.6%; 3. fibrosis, 41.5%; 4. bronchiectasias, 26.5%; 5. emphysema, 19.4% and 6. cysts, 1.7%. Caverns were observed in different areas of both lungs, with discreet predominance in the right lung, were located mainly in the apices (100%), and the great majority (94%) was bilateral. The others lesions were distributed randomly in both lungs. In the tuberculosis/associated disease group, 70.8% was male, and the two most frequent principal diseases were AIDS (22.1%) and alcoholism (16.3%). Also, the lung was the most affected organ (85.2%), followed by lymph nodes (31.9%) and spleen (28.6%). In 100% of AIDS there were pulmonary lesions. This study in necropsies reinforces epidemiological data that tuberculosis is an important disease, and, also, constitutes an invaluable tool to gather information for a better understanding of the pathology and the epidemiology of tuberculosis in our region |
| Resumen en portugués | Os pulmões estavam acometidos em 85,2% dessas necropsias (100% nos casos de AIDS), seguidos pelos linfonodos (31,9%) e baço (28,6%). Nossos dados corroboram a importância da necropsia no estudo e no conhecimento da tuberculose, fornecendo subsídios para uma melhor abordagem clínica e epidemiológica dessa doença em nossa região |
| Disciplinas: | Medicina |
| Palabras clave: | Neumología, Salud pública, Tuberculosis, Necropsia, Patología, Epidemiología |
| Keyword: | Medicine, Pneumology, Public health, Tuberculosis, Necropsy, Pathology, Epidemiology |
| Texto completo: | Texto completo (Ver HTML) |
