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Vol. 16. Issue 1.
Pages 171-176 (January - February 2010)
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Vol. 16. Issue 1.
Pages 171-176 (January - February 2010)
Caso Clínico/Case Report
Open Access
Tuberculose musculoesquelética – A propósito de um caso clínico
Musculoskeletal tuberculosis – a clinical case report
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5775
Teresa Mourato1, João Costeira2,
Corresponding author
joaocosteira@sapo.pt

Serviço de Pneumologia III, Director: Jaime Pina, Hospital de Pulido Valente, Centro Hospitalar Lisboa Norte, EPE Alameda das Linhas de Torres, 117 1769-001 Lisboa
, Jaime Pina3
1 Interna do Internato Complementar de Pneumologia/Resident, Pulmonology
2 Assistente Hospitalar Graduado de Pneumologia/Consultant, Pulmonology specialist
3 Chefe de Serviço Hospitalar de Pneumologia e Director do Serviço de Pneumologia III/Head, Pulmonology Unit, director Pulmonology III Service Hospital de Pulido Valente, Lisboa
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Resumo

A tuberculose da parede torácica constitui 1 % a 5 % de todos os casos de tuberculose musculoesquelética. Os abcessos da parede torácica constituem localizações raras da tuberculose. Porém, com o recrudescimento da tuberculose associada à síndroma de imunodeficiência adquirida (SIDA), aquele diagnóstico deve ser considerado mais frequentemente1.

Os autores apresentam um caso de tuberculose óssea com abcesso da costela em doente infectado pelo VIH. A combinação da apresentação insidiosa de sintomas e de imagens radiológicas compatíveis sugerem fortemente o diagnóstico. No entanto, a confirmação cultural ou histopatológica são essenciais para o diagnóstico definitivo.

Rev Port Pneumol 2010; XVI (1): 171-176

Palavras-chave:
Tuberculose musculoesquelética
abcesso
costela
Abstract

Tuberculosis of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB.

Abscesses of the chest wall are rare tuberculous locations. Because of the resurgence of the tuberculosis associated to AIDS, that diagnosis must be considered more frequently1.

The authors present a case of osseous tuberculosis with an abscess rib in a patient with HIV. The combination of indolent onset of symptoms and compatible radiographic findings, strongly suggests the diagnosis. However, the confirmation with positive culture or histopathologic are essential for definitive diagnosis.

Rev Port Pneumol 2010; XVI (1): 171-176

Key-words:
Musculoskeletal tuberculosis
abscess
rib
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Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
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