array:24 [
  "pii" => "S2173511508702859"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(08)70285-9"
  "estado" => "S300"
  "fechaPublicacion" => "2008-07-01"
  "aid" => "70285"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2008;14:561-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 7980
    "formatos" => array:3 [
      "EPUB" => 225
      "HTML" => 2537
      "PDF" => 5218
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511508702860"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(08)70286-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-07-01"
    "aid" => "70286"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2008;14:571-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3343
      "formatos" => array:3 [
        "EPUB" => 230
        "HTML" => 1771
        "PDF" => 1342
      ]
    ]
    "pt" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Hemoptises em jovens adultos"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "571"
          "paginaFinal" => "572"
        ]
      ]
      "contieneResumen" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Herbert Peter Know, Vincent Mysliwiec, Alexander Niven, Katherine Simonson, J. Rosal Gonçalves, Renato Sotto-Mayor"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Herbert"
              "apellidos" => "Peter Know"
            ]
            1 => array:2 [
              "nombre" => "Vincent"
              "apellidos" => "Mysliwiec"
            ]
            2 => array:2 [
              "nombre" => "Alexander"
              "apellidos" => "Niven"
            ]
            3 => array:2 [
              "nombre" => "Katherine"
              "apellidos" => "Simonson"
            ]
            4 => array:2 [
              "nombre" => "J."
              "apellidos" => "Rosal Gonçalves"
            ]
            5 => array:2 [
              "nombre" => "Renato"
              "apellidos" => "Sotto-Mayor"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702860?idApp=UINPBA00004E"
    "url" => "/21735115/0000001400000004/v1_201305151456/S2173511508702860/v1_201305151456/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511508702847"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(08)70284-7"
    "estado" => "S300"
    "fechaPublicacion" => "2008-07-01"
    "aid" => "70284"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2008;14:551-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4277
      "formatos" => array:3 [
        "EPUB" => 230
        "HTML" => 2448
        "PDF" => 1599
      ]
    ]
    "pt" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Pneumonia eosinofílica crónica idiopática – A propósito de um caso clínico"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "551"
          "paginaFinal" => "559"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Idiopathic chronic eosinophilic pneumonia – A clinical case report"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carla Valente, Sónia André, Alexandra Catarino, Mário Loureiro, M. Fontes Baganha"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Carla"
              "apellidos" => "Valente"
            ]
            1 => array:2 [
              "nombre" => "Sónia"
              "apellidos" => "André"
            ]
            2 => array:2 [
              "nombre" => "Alexandra"
              "apellidos" => "Catarino"
            ]
            3 => array:2 [
              "nombre" => "Mário"
              "apellidos" => "Loureiro"
            ]
            4 => array:2 [
              "nombre" => "M. Fontes"
              "apellidos" => "Baganha"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702847?idApp=UINPBA00004E"
    "url" => "/21735115/0000001400000004/v1_201305151456/S2173511508702847/v1_201305151456/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Tuberculose disseminada – Caso clínico e discussão"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "561"
        "paginaFinal" => "569"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "João Cláudio Barroso Pereira, Rosângela Ribeiro Machado Pereira, Salomão Assis Gerecht, Roberto Silveira"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "João Cláudio"
            "apellidos" => "Barroso Pereira"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "fn0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Ros&#226;ngela Ribeiro"
            "apellidos" => "Machado Pereira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Salom&#227;o"
            "apellidos" => "Assis Gerecht"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:4 [
            "preGrado" => "Dr&#46;"
            "nombre" => "Roberto"
            "apellidos" => "Silveira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "M&#233;dico do CRA- DIP do Hospital Municipal Nelson de S&#193; Earp e do Programa de Controle da Tuberculose da SMS-Petr&#243;polis e do Servi&#231;o de Atendimento Especializado da SMS-Belford Roxo &#8211; Rio de Janeiro Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">1</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "M&#233;dica radiologista do Hospital Estadual Carlos Chagas e Hospital Municipal Rocha Maia &#8211; Rio de Janeiro"
            "etiqueta" => "<span class="elsevierStyleSup">2</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "M&#233;dico pneumologista do Hospital Geral de Jacarepagu&#225; &#8211; Hospital Cardoso Fontes &#8211; Minist&#233;rio da Sa&#250;de &#8211; Rio de Janeiro-Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">3</span>"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Director do Hospital Municipal Nelson de S&#225; Earp &#40;HMNSE&#41; &#8211; HMNSE &#8211; Rua Paulino Afonso&#44; 455 &#8211; Bairro Bingen &#8211; Petr&#243;polis &#8211; Rio de Janeiro- Brasil"
            "etiqueta" => "<span class="elsevierStyleSup">4</span>"
            "identificador" => "aff0020"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Disseminated tuberculosis &#8211; A case report and discussion"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-01-29"
    "fechaAceptado" => "2008-03-17"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec159699"
          "palabras" => array:4 [
            0 => "Tuberculose disseminada"
            1 => "doente imunocompetente"
            2 => "otomastoidite"
            3 => "tuberculose peritoneal"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec159700"
          "palabras" => array:4 [
            0 => "Disseminated tuberculosis"
            1 => "immunocompetent patient"
            2 => "otomastoidits"
            3 => "peritoneal tuberculosis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Os autores relatam caso de adolescente de 13 anos com diagn&#243;stico de tuberculose disseminada caracterizada por otomastoidite bilateral&#44; dor abdominal&#44; ascite e pneumonia alveolar apical&#44; com hist&#243;ria pr&#233;via de contacto de tuberculose&#44; m&#233;todos de imagem mostrando achados na mast&#243;ide&#44; abdome e t&#243;rax&#46; Houve confirma&#231;&#227;o da doen&#231;a atrav&#233;s da cultura positiva para <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> do material de drenagem cir&#250;rgica da mast&#243;ide&#46; Ap&#243;s seis meses de tratamento com tuberculost&#225;ticos&#44; houve remiss&#227;o dos sintomas e regress&#227;o do quadro radiol&#243;gico&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors report the case of a 13 year-old boy with disseminated tuberculosis evidenced by bilateral otomastoiditis associated to abdominal pain&#44; ascites and apical alveolar pneumonia&#44; prior history of contact with tuberculosis &#40;TB&#41; patients and radiology findings at mastoiditis&#44; abdominal tract and thorax&#46;</p><p id="spar0500" class="elsevierStyleSimplePara elsevierViewall">Diagnosis was confirmed through positive culture for <span class="elsevierStyleItalic">Mycobaterium tuberculosis</span> from mastoiditis surgical drainage&#46; After 6 months of anti-tuberculosis treatment there was remission of symptoms and regression of radiology findings&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#42;"
        "nota" => "<p class="elsevierStyleNotepara">Trabalho apresentado sob forma de <span class="elsevierStyleItalic">poster</span> no XXII Congresso de Pneumologia e IV Congresso Luso-Brasileiro de Pneumologia em Dezembro de 2006&#44; pelo m&#233;dico Jo&#227;o Cl&#225;udio Barroso Pereira&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:20 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculose extrapulmonaire diss&#233;min&#233; r&#233;v&#233;l&#233;e par une ost&#233;omy&#233;lite hum&#233;rale droite responsable de doulers chroniques d&#8216;allure commune"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "C&#46; Salliot"
                            1 => "Y&#46; Allanore"
                            2 => "A&#46; Lebrun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Revue du Rhumatisme"
                        "fecha" => "2005"
                        "volumen" => "72"
                        "paginaInicial" => "436"
                        "paginaFinal" => "439"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculose &#8211; Do Ambulat&#243;rio &#224; Enfermaria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Kritski"
                            1 => "M&#46;B&#46; Conde"
                            2 => "G&#46;R&#46; Muzy de Souza"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "2005"
                        "editorial" => "Terceira edi&#231;&#227;o&#44; ed"
                        "editorialLocalizacion" => "Atheneu"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disseminated tuberculosis&#58; still a diagnostic challenge"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;E&#46; Paull"
                            1 => "M&#46;A&#46; Reilly"
                            2 => "P&#46;A&#46; Stanley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "MJA"
                        "fecha" => "1999"
                        "volumen" => "170"
                        "paginaInicial" => "482"
                        "paginaFinal" => "485"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10376025"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two decades of disseminated tuberculosis at a university medical center&#58; the expanding role of mycobacterial blood culture"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; Crump"
                            1 => "L&#46;B&#46; Reller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1086/378273"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Infect Dis"
                        "fecha" => "2003"
                        "volumen" => "37"
                        "numero" => "8"
                        "paginaInicial" => "1037"
                        "paginaFinal" => "1043"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14523767"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multiple organ failureseptic shock in disseminated tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;H&#46; Lin"
                            1 => "K&#46;L&#46; Chong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Singapore Med J"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "numero" => "3"
                        "paginaInicial" => "176"
                        "paginaFinal" => "178"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10402899"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Miliary tuberculosis&#58; new insights into an old disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46;K&#46; Sharma"
                            1 => "A&#46; Mohan"
                            2 => "A&#46; Sharma"
                            3 => "D&#46;K&#46; Mitra"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "The Lancet"
                        "fecha" => "2005"
                        "volumen" => "5"
                        "paginaInicial" => "415"
                        "paginaFinal" => "430"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-pulmonary tuberculosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46;D&#46; Carrol"
                            1 => "J&#46;E&#46; Clark"
                            2 => "A&#46;J&#46; Cant"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1053/prrv.2000.0118"
                      "Revista" => array:6 [
                        "tituloSerie" => "Paediatric Respiratory Reviews"
                        "fecha" => "2001"
                        "volumen" => "2"
                        "paginaInicial" => "113"
                        "paginaFinal" => "119"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12531057"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculous meningitis and miliary tuberculosis&#58; the Rich focus revisited"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;R&#46; Donald"
                            1 => "H&#46;S&#46; Schaaf"
                            2 => "J&#46;F&#46; Schoeman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jinf.2004.02.010"
                      "Revista" => array:6 [
                        "tituloSerie" => "Journal of Infection"
                        "fecha" => "2005"
                        "volumen" => "50"
                        "paginaInicial" => "193"
                        "paginaFinal" => "195"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15780412"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculose &#8211; Epidemiologia&#44; Diagn&#243;stico e Tratamento em Cl&#237;nica e Sa&#250;de P&#250;blica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;D&#46; Picon"
                            1 => "C&#46;F&#46;C&#46; Rizzon"
                            2 => "W&#46;P&#46; Ott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Ed Medsi"
                        "fecha" => "1993"
                        "paginaInicial" => "291"
                        "paginaFinal" => "306"
                        "itemHostRev" => array:3 [
                          "pii" => "S0967586811001743"
                          "estado" => "S300"
                          "issn" => "09675868"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Imagem em tuberculose pulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46; Bombard"
                            1 => "C&#46;M&#46; Figueiredo"
                            2 => "M&#46;B&#46;G&#46; Funari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pneumol"
                        "fecha" => "2001"
                        "volumen" => "27"
                        "numero" => "6"
                        "paginaInicial" => "329"
                        "paginaFinal" => "340"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manifestations radiologiques de la tuberculose pulmonaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Andreu"
                            1 => "J&#46; C&#225;ceres"
                            2 => "E&#46; Pallisa"
                            3 => "M&#46; Martinez-Rodrigues"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "EMC-Radiologie"
                        "fecha" => "2005"
                        "volumen" => "2"
                        "paginaInicial" => "121"
                        "paginaFinal" => "132"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "II Diretrizes Brasileiras para tuberculose 2004&#46; Jornal Brasileiro de Pneumologia 30&#40;1&#41;&#58;S2-S23&#46;"
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Controle da Tuberculose&#58; uma proposta de integra&#231;&#227;o ensino-servi&#231;o&#46; Quinta edi&#231;&#227;o&#46; Rio de Janeiro&#44; FUNASA&#47;CRPHF&#47;SBPT 2002&#58; 65-96&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#192; propos d&#8216;une otorrh&#233;e tra&#238;nante&#58; l&#8217;otite moyenne tuberculeuse"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;N&#46; Duclos"
                            1 => "B&#46; Lorcerie"
                            2 => "C&#46; Matagrin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev M&#233;d Interne"
                        "fecha" => "1998"
                        "volumen" => "19"
                        "paginaInicial" => "363"
                        "paginaFinal" => "365"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9775177"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculous Otitis Media&#58; A Difficult Diagnosis and Report of Four Cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Vital"
                            1 => "A&#46; Printza"
                            2 => "T&#46; Zaraboukas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pathol Res Pract"
                        "fecha" => "2002"
                        "volumen" => "198"
                        "paginaInicial" => "31"
                        "paginaFinal" => "35"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11866208"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculous otitis media &#8211; a diagnostic dilemma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;K&#46; Bhalla"
                            1 => "T&#46;M&#46; Jones"
                            2 => "M&#46;M&#46; Rothburn"
                            3 => "A&#46;C&#46; Swift"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Auris Nasus Larynx"
                        "fecha" => "2001"
                        "volumen" => "28"
                        "paginaInicial" => "241"
                        "paginaFinal" => "243"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11489368"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculous otitis media&#58; A significant diagnostic challenge"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "P&#46; Vaamonde"
                            1 => "C&#46; Castro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.otohns.2003.12.021"
                      "Revista" => array:8 [
                        "tituloSerie" => "Otolaryngology-Head and Neck Surgery"
                        "fecha" => "2004"
                        "volumen" => "130"
                        "numero" => "6"
                        "paginaInicial" => "759"
                        "paginaFinal" => "768"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15195064"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0300289610002000"
                          "estado" => "S300"
                          "issn" => "03002896"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculous mastoiditis&#58; when is surgery indicated&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46;C&#46; Saunders"
                            1 => "D&#46;M&#46; Albert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Internal Journal of Pediatric and Otorhinolaryngology"
                        "fecha" => "2002"
                        "volumen" => "65"
                        "paginaInicial" => "59"
                        "paginaFinal" => "63"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculose p&#233;ritoneal diss&#233;min&#233;e simulant un cancer ovarien&#58; &#224; propos d&#8217;un cas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "S&#46; Lantheaume"
                            1 => "S&#46; Soler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Gyn&#233;cologie Obst&#233;trique et Fertilit&#233;"
                        "fecha" => "2003"
                        "volumen" => "31"
                        "paginaInicial" => "624"
                        "paginaFinal" => "626"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculose &#8211; Epide miologia&#44; Diagn&#243;stico e Tratamento em Cl&#237;nica e Sa&#250;de P&#250;blica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;D&#46; Picon"
                            1 => "C&#46;F&#46;C&#46; Rizzon"
                            2 => "W&#46;P&#46; Ott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Ed Medsi"
                        "fecha" => "1993"
                        "paginaInicial" => "367"
                        "paginaFinal" => "374"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/21735115/0000001400000004/v1_201305151456/S2173511508702859/v1_201305151456/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9550"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Report&#47;Caso Cl&#237;nico"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001400000004/v1_201305151456/S2173511508702859/v1_201305151456/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702859?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 14. Issue 4.
Pages 561-569 (July - August 2008)
Share
Share
Download PDF
More article options
Vol. 14. Issue 4.
Pages 561-569 (July - August 2008)
Full text access
Tuberculose disseminada – Caso clínico e discussão
Disseminated tuberculosis – A case report and discussion
Visits
1017
João Cláudio Barroso Pereira1,*, Rosângela Ribeiro Machado Pereira2, Salomão Assis Gerecht3, Roberto Silveira4
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 Médica radiologista do Hospital Estadual Carlos Chagas e Hospital Municipal Rocha Maia – Rio de Janeiro
3 Médico pneumologista do Hospital Geral de Jacarepaguá – Hospital Cardoso Fontes – Ministério da Saúde – Rio de Janeiro-Brasil
4 Director do Hospital Municipal Nelson de Sá Earp (HMNSE) – HMNSE – Rua Paulino Afonso, 455 – Bairro Bingen – Petrópolis – Rio de Janeiro- Brasil
This item has received
Article information
Abstract
Bibliography
Download PDF
Statistics
Resumo

Os autores relatam caso de adolescente de 13 anos com diagnóstico de tuberculose disseminada caracterizada por otomastoidite bilateral, dor abdominal, ascite e pneumonia alveolar apical, com história prévia de contacto de tuberculose, métodos de imagem mostrando achados na mastóide, abdome e tórax. Houve confirmação da doença através da cultura positiva para Mycobacterium tuberculosis do material de drenagem cirúrgica da mastóide. Após seis meses de tratamento com tuberculostáticos, houve remissão dos sintomas e regressão do quadro radiológico.

Palavras-chave:
Tuberculose disseminada
doente imunocompetente
otomastoidite
tuberculose peritoneal
Abstract

The authors report the case of a 13 year-old boy with disseminated tuberculosis evidenced by bilateral otomastoiditis associated to abdominal pain, ascites and apical alveolar pneumonia, prior history of contact with tuberculosis (TB) patients and radiology findings at mastoiditis, abdominal tract and thorax.

Diagnosis was confirmed through positive culture for Mycobaterium tuberculosis from mastoiditis surgical drainage. After 6 months of anti-tuberculosis treatment there was remission of symptoms and regression of radiology findings.

Key-words:
Disseminated tuberculosis
immunocompetent patient
otomastoidits
peritoneal tuberculosis
Full text is only aviable in PDF
Bibliografia
[1.]
C. Salliot, Y. Allanore, A. Lebrun, et al.
Tuberculose extrapulmonaire disséminé révélée par une ostéomyélite humérale droite responsable de doulers chroniques d‘allure commune.
Revue du Rhumatisme, 72 (2005), pp. 436-439
[2.]
A. Kritski, M.B. Conde, G.R. Muzy de Souza.
Tuberculose – Do Ambulatório à Enfermaria.
Terceira edição, ed, (2005),
[3.]
A.E. Paull, M.A. Reilly, P.A. Stanley.
Disseminated tuberculosis: still a diagnostic challenge.
MJA, 170 (1999), pp. 482-485
[4.]
J.A. Crump, L.B. Reller.
Two decades of disseminated tuberculosis at a university medical center: the expanding role of mycobacterial blood culture.
Clin Infect Dis, 37 (2003), pp. 1037-1043
[5.]
K.H. Lin, K.L. Chong.
Multiple organ failureseptic shock in disseminated tuberculosis.
Singapore Med J, 40 (1999), pp. 176-178
[6.]
S.K. Sharma, A. Mohan, A. Sharma, D.K. Mitra.
Miliary tuberculosis: new insights into an old disease.
The Lancet, 5 (2005), pp. 415-430
[7.]
E.D. Carrol, J.E. Clark, A.J. Cant.
Non-pulmonary tuberculosis.
Paediatric Respiratory Reviews, 2 (2001), pp. 113-119
[8.]
P.R. Donald, H.S. Schaaf, J.F. Schoeman.
Tuberculous meningitis and miliary tuberculosis: the Rich focus revisited.
Journal of Infection, 50 (2005), pp. 193-195
[9.]
P.D. Picon, C.F.C. Rizzon, W.P. Ott.
Tuberculose – Epidemiologia, Diagnóstico e Tratamento em Clínica e Saúde Pública.
Ed Medsi, (1993), pp. 291-306
[10.]
S. Bombard, C.M. Figueiredo, M.B.G. Funari, et al.
Imagem em tuberculose pulmonar.
J Pneumol, 27 (2001), pp. 329-340
[11.]
J. Andreu, J. Cáceres, E. Pallisa, M. Martinez-Rodrigues.
Manifestations radiologiques de la tuberculose pulmonaire.
EMC-Radiologie, 2 (2005), pp. 121-132
[12.]
II Diretrizes Brasileiras para tuberculose 2004. Jornal Brasileiro de Pneumologia 30(1):S2-S23.
[13.]
Controle da Tuberculose: uma proposta de integração ensino-serviço. Quinta edição. Rio de Janeiro, FUNASA/CRPHF/SBPT 2002: 65-96.
[14.]
M.N. Duclos, B. Lorcerie, C. Matagrin.
À propos d‘une otorrhée traînante: l’otite moyenne tuberculeuse.
Rev Méd Interne, 19 (1998), pp. 363-365
[15.]
V. Vital, A. Printza, T. Zaraboukas.
Tuberculous Otitis Media: A Difficult Diagnosis and Report of Four Cases.
Pathol Res Pract, 198 (2002), pp. 31-35
[16.]
R.K. Bhalla, T.M. Jones, M.M. Rothburn, A.C. Swift.
Tuberculous otitis media – a diagnostic dilemma.
Auris Nasus Larynx, 28 (2001), pp. 241-243
[17.]
P. Vaamonde, C. Castro, et al.
Tuberculous otitis media: A significant diagnostic challenge.
Otolaryngology-Head and Neck Surgery, 130 (2004), pp. 759-768
[18.]
N.C. Saunders, D.M. Albert.
Tuberculous mastoiditis: when is surgery indicated?.
Internal Journal of Pediatric and Otorhinolaryngology, 65 (2002), pp. 59-63
[19.]
S. Lantheaume, S. Soler, et al.
Tuberculose péritoneal disséminée simulant un cancer ovarien: à propos d’un cas.
Gynécologie Obstétrique et Fertilité, 31 (2003), pp. 624-626
[20.]
P.D. Picon, C.F.C. Rizzon, W.P. Ott.
Tuberculose – Epide miologia, Diagnóstico e Tratamento em Clínica e Saúde Pública.
Ed Medsi, (1993), pp. 367-374

Trabalho apresentado sob forma de poster no XXII Congresso de Pneumologia e IV Congresso Luso-Brasileiro de Pneumologia em Dezembro de 2006, pelo médico João Cláudio Barroso Pereira.

Copyright © 2008. Sociedade Portuguesa de Pneumologia
Download PDF
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?