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Vol. 14. Issue 3.
Pages 391-407 (May - June 2008)
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Vol. 14. Issue 3.
Pages 391-407 (May - June 2008)
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Análise comparativa entre tuberculides e tuberculose extrapulmonar – Uma outra face do Mycobacterium tuberculosis
Comparative analyses between tuberculids and extrapulmonary tuberculosis – Another face for Mycobacterium tuberculosis
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João Cláudio Barroso Pereira1, Roberto Silveira Filho2
1 Médico do CRA-DIP do Hospital Municipal Nelson de Sá Earp e do Programa de Controle da Tuberculose da SMS-Petrópolis e do Serviço de Atendimento Especializado da SMS-Belford Roxo – Rio de Janeiro-Brasil
2 Hospital Municipal Nelson de Sá Earp (HMNSE), Rua Paulino Afonso, 455 – Bairro Bingen – Petrópolis-Rio de Janeiro – Brasil
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O autor propõe uma comparação entre tuberculides e tuberculose extrapulmonar ressaltando diferenças, quanto ao conceito, patogénese, quadro clínico, diagnóstico e tratamento e provando de uma maneira definitiva que são situações distintas do Mycobacterium tuberculosis. Informações actualizadas sobre etiopatogenia e diagnóstico das tuberculides serão discutidas. É também feita uma revisão sobre as diferentes apresentações da tuberculose extrapulmonar.

Palavras-chave:
Tuberculides
tuberculose extrapulmonar
diferenças
patogénese
quadro clínico
diagnóstico
Abstract

The author proposes a comparison of tuberculids and extrapulmonary tuberculosis, highlighting the differences in definition, pathogenesis, clinical manifestations, diagnosis and treatment, proving that they are different expressions of Mycobacterium tuberculosis. The article further discusses updated information on tuberculids pathogenesis and diagnosis. A review of different presentations of extrapulmonary tuberculosis is also presented.

Key-words:
Tuberculids
extrapulmonary tuberculosis
differences
pathogenesis
clinical manifestations
diagnosis
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Agradecimentos especiais e dedicatória aos Professores Marcus B. Conde e Gilvan R. Muzy de Souza, Professores Adjuntos da Faculdade de Medicina da Universidade Federal do Rio de Janeiro pelo apoio à ideia.

Trabalho apresentado sob forma de comunicação oral no XXII Congresso de Pneumologia e IV Congresso Luso-Brasileiro de Pneumologia, no Estoril, Dezembro de 2006.

Copyright © 2008. Sociedade Portuguesa de Pneumologia
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