Neumonía tuberculosa. Presentación de caso

• Main Authors: Manuel Díaz Toledo (Author), Norma Fernández Olivera (Author), Magali L. Valdés Quintana (Author), Tatiana T. Crespo Dìaz IV (Author), Reinaldo Sánchez de la Osa (Author)
• Format: Book
• Published: Universidad de Ciencias Médicas de La Habana, 2012-03-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<div style="left: 138.222px; top: 854.885px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.42321);" data-canvas-width="129.51243076509525">Introducción:</div><div style="left: 267.768px; top: 854.885px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20562);" data-canvas-width="516.0035047915057">la Neumonía Tuberculosa es una forma infrecuente y grave de</div><div style="left: 138.222px; top: 874.673px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.2016);" data-canvas-width="348.46266911058086">presentación de la tuberculosis pulmonar,</div><div style="left: 486.408px; top: 874.673px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1816);" data-canvas-width="328.48396042807684">cuyas características clínicas inducen al</div><div style="left: 138.222px; top: 894.364px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17259);" data-canvas-width="331.8438605927219">diagnóstico erróneo de Neumonía bacter</div><div style="left: 469.934px; top: 894.364px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.16868);" data-canvas-width="312.0377049225496">iana, especialmente al diagnóstico de</div><div style="left: 138.222px; top: 914.152px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1732);" data-canvas-width="219.38813231074212">Neumonía neumoccócica.</div><div style="left: 138.222px; top: 933.843px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.37499);" data-canvas-width="89.37432109472127">Objetivo:</div><div style="left: 227.607px; top: 933.843px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17886);" data-canvas-width="313.5760313060717">actualización de una entidad poco frec</div><div style="left: 540.995px; top: 933.843px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20074);" data-canvas-width="279.7735473337589">uente a través de la presentación</div><div style="left: 138.222px; top: 953.631px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17668);" data-canvas-width="329.47044274385934">de un caso con diagnóstico confirmado.</div><div style="left: 138.222px; top: 973.419px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.29401);" data-canvas-width="210.92326755485365">Presentación del caso:</div><div style="left: 349.161px; top: 973.419px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1722);" data-canvas-width="431.3711358186888">presentamos el caso de una paciente de 22 años de</div><div style="left: 138.222px; top: 993.11px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18118);" data-canvas-width="346.08436768589763">procedencia extranjera con el diagnóstico</div><div style="left: 484.166px; top: 993.11px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1923);" data-canvas-width="330.26646560263424">de neumonía tuberculosa, hospitalizada</div><div style="left: 138.222px; top: 1012.9px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17244);" data-canvas-width="681.1855733510295">en el Servicio de Tisiología de mujeres del Hospital Neumológico Benéfico Jurídico.</div><div style="left: 138.222px; top: 1032.59px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17679);" data-canvas-width="172.98765057961762">La paciente consultó</div><div style="left: 311.146px; top: 1032.59px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19537);" data-canvas-width="188.86903914855012">por fiebre mayor de 38</div><div style="left: 499.86px; top: 1031.05px; font-size: 10.5275px; font-family: sans-serif;">0</div><div style="left: 506.586px; top: 1032.58px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20903);" data-canvas-width="163.2188710796008">c, tos seca y síntom</div><div style="left: 669.665px; top: 1032.58px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17252);" data-canvas-width="136.0124701824535">as generales. Al</div><div style="left: 138.222px; top: 1052.37px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19253);" data-canvas-width="219.42557305870093">examen físico, se encontró</div><div style="left: 357.448px; top: 1052.37px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20201);" data-canvas-width="206.74618236954402">un típico síndrome de co</div><div style="left: 564px; top: 1052.37px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19327);" data-canvas-width="211.20814281106144">ndensación pulmonar. La</div><div style="left: 138.222px; top: 1072.06px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18907);" data-canvas-width="343.6409519169382">radiografía de tórax reveló una consolidac</div><div style="left: 481.632px; top: 1072.06px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1739);" data-canvas-width="335.7360705218238">ión del espacio aéreo del lóbulo superior</div><div style="left: 138.222px; top: 1091.85px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17209);" data-canvas-width="373.8963319848123">derecho con broncograma aéreo. El hematocr</div><div style="left: 511.948px; top: 1091.85px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20451);" data-canvas-width="310.76309163334565">ito fue de 0.35%, leucocitos en cifras</div><div style="left: 138.222px; top: 1111.54px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.2526);" data-canvas-width="365.75866680891096">normales: 8x 109/l , la vsg en 138 mms/h .</div><div style="left: 503.662px; top: 1111.54px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22487);" data-canvas-width="330.71412671953226">Mantoux en 18 mm y el primer examen</div><div style="left: 138.222px; top: 1131.33px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.14406);" data-canvas-width="220.80274144013978">del esputo BAAR directo co</div><div style="left: 359.007px; top: 1131.33px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22306);" data-canvas-width="194.4672448976849">dificación 8 y cultivo 6.</div><div style="left: 138.222px; top: 1151.12px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.28549);" data-canvas-width="125.97834972951175">Conclusiones:</div><div style="left: 264.259px; top: 1151.12px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19911);" data-canvas-width="261.4064186720877">la paciente recibió tratamiento</div><div style="left: 525.497px; top: 1151.12px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20809);" data-canvas-width="276.6529423843284">antituberculoso de primera línea,</div><div style="left: 138.222px; top: 1170.81px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17976);" data-canvas-width="500.21815988038014">con magnífica respuesta clínica, radiológica y bacteriológica.</div><div style="left: 138.222px; top: 1213.31px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.28114);" data-canvas-width="131.95747439266148">Palabras clave</div><div style="left: 270.205px; top: 1213.31px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22197);" data-canvas-width="481.4554615772318">: neumonía, tuberculosis pulmonar, neumonía bacteriana.</div>

Item Description

1729-519X