%0 Journal Article
%T Neumon赤a tuberculosa. Presentaci車n de caso Tuberculous pneumonia. Case presentation
%A Manuel D赤az Toledo
%A Norma Fern芍ndez Olivera
%A Magali L Vald谷s Quintana
%A Tatiana T Crespo D足az
%J Revista Habanera de Ciencias Mˋˋdicas
%D 2012
%I Ministerio de Salud Publica
%X Introducci車n: la Neumon赤a Tuberculosa es una forma infrecuente y grave de presentaci車n de la tuberculosis pulmonar, cuyas caracter赤sticas cl赤nicas inducen al diagn車stico err車neo de Neumon赤a bacteriana, especialmente al diagn車stico de Neumon赤a neumocc車cica. Objetivo: actualizaci車n de una entidad poco frecuente a trav谷s de la presentaci車n de un caso con diagn車stico confirmado. Presentaci車n del caso: presentamos el caso de una paciente de 22 a os de procedencia extranjera con el diagn車stico de neumon赤a tuberculosa, hospitalizada en el Servicio de Tisiolog赤a de mujeres del Hospital Neumol車gico Ben谷fico Jur赤dico. La paciente consult車 por fiebre mayor de 38(0)c, tos seca y s赤ntomas generales. Al examen f赤sico, se encontr車 un t赤pico s赤ndrome de condensaci車n pulmonar. La radiograf赤a de t車rax revel車 una consolidaci車n del espacio a谷reo del l車bulo superior derecho con broncograma a谷reo. El hematocrito fue de 0.35%, leucocitos en cifras normales: 8x 109/l , la vsg en 138 mms/h . Mantoux en 18 mm y el primer examen del esputo BAAR directo codificaci車n 8 y cultivo 6. Conclusiones: la paciente recibi車 tratamiento antituberculoso de primera l赤nea, con magn赤fica respuesta cl赤nica, radiol車gica y bacteriol車gica. Introduction: the TB pneumonia is an infrequent serious manifestation of the lung TB, whose clinical features lead to the erroneous diagnosis of bacterial pneumonia, particularly to the diagnosis pneumococcal pneumonia. Objective: Our objective was to update an infrequent entity through the presentation of a case with confirmed diagnosis. Presentation of the case: we are presenting the case of a foreign 22-year-old female patient with TB pneumonia diagnosis who was hospitalized under the TB services for women at Hospital Neumol車gico Ben谷fico Jur赤dico in the TB Service. The patient had fever higher than 38∼C, dry coughing, and dyspnea and symptoms in general. During the physical exam the typical syndrome of lung condensation was found. The thorax x-ray revealed a consolidation of the air space in the right high lobe with air bronchogram. The hematocrit measurement of 0.35%, leucocytes with normal count: 8x10(9,) eritrosedimentation at 138 mms/h. Mantoux at 18 mm and the first sputum exam with direct BAAR with 8 coding and culture at 6. Conclusions: patient received anti TB treatment of first line with a great clinical, radiological and bacteriological response.
%K neumon赤a
%K tuberculosis pulmonar
%K neumon赤a bacteriana
%K pneumonia
%K lung TB
%K bacterial pneumonia
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2012000500008