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Vol. 14. Issue 4.
Pages 561-569 (July - August 2008)
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Vol. 14. Issue 4.
Pages 561-569 (July - August 2008)
Caso Clínico/Clinical Case
Open Access
Tuberculose disseminada – Caso clínico e discussão
Disseminated tuberculosis – A case report and discussion
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João Cláudio Barroso Pereira1,*, Rosângela Ribeiro Machado Pereira2, Salomão Assis Gerecht3
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
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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.

Rev Port Pneumol 2008; XIV (4): 561-569

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.

Rev Port Pneumol 2008; XIV (4): 561-569

Key-words:
Disseminated tuberculosis
immunocompetent patient
otomastoidits
peritoneal tuberculosis
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Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
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