Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis
<p class="MsoNormal"><span style="font-size: 9pt; font-family: Arial">La Iinfadenitis</span><span style="font-size: 9pt; font-family: Arial"> tuberculosa del adulto afecta los ganglios intratorácicos sólo en 5-7% d...
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
1989-01-01
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| Series: | Iatreia |
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| Online Access: | http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/745 |
| _version_ | 1819134777640353792 |
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| author | Lazaro Vélez |
| author_facet | Lazaro Vélez |
| author_sort | Lazaro Vélez |
| collection | DOAJ |
| description | <p class="MsoNormal"><span style="font-size: 9pt; font-family: Arial">La Iinfadenitis</span><span style="font-size: 9pt; font-family: Arial"> tuberculosa del adulto afecta los ganglios intratorácicos sólo en 5-7% de los casos y generalmente produce poco compromiso sistémico. Se presenta el caso de una mujer de 21 anos que murió en Insuficiencia respiratoria debida a la obstrucción bronquial causada por grandes adenopatias hiliares y mediastinales y derrame pleural masivo bilateral. La Incidencia de tuberculosis pulmonar en Medellín durante 1986 fue de 85.3 casos nuevos por 100.000 habitantes, de los cuales muere aproximadamente 8-9% por ano. De la mortalidad en general, menos del 20¡0 se debe a Insuficiencia respiratoria. No se encontraron Informes en la literatura médica de obstrucción bronquial por Iinfadenopatia tuberculosa como causa de muerte. Se piensa que las malas condIcIones socioeconómicas, el consumo de narcóticos y la coexistencia de enfermedades venéreas, contribuyeron al curso fulminante de esta paciente. Se pretende llamar la atención acerca de esta presentación atípica y agresiva de la tuberculosis, especialmente en pacientes que pudieran estar inmunocomprometidos.</span><span></span></p> <p class="MsoNormal"><span style="font-size: 9pt; font-family: Arial">Tuberculous Iymphadenitis in adults affects intrathoracic lymph nodes in only 5- 7% of the cases and It usually does not produce Important systemic involvement. The case of a 21 year-old woman who died of respiratory insufficiency due to bronchial obstruction caused by large hilar and mediastinal lymphadenopathies and bilateral massive pleural effusion is presented. The incidence of pulmonary tuberculosis was 85.3 new cases per 100.000 inhabitants in 1986, in Medellín, Colombia. Mortality can be calculated between 8-9% per year and, of them, only 2% die as a result of respiratory insufficiency. No previous report9 of fatal bronchial obstruction due to tuberculosis Iymphadenopathy were found in the literature. Poor socioeconomic conditions, narcotic drug consumption and the concurrent venereal diseases the presented contributed to the fulminant course observed in this patient. Attention Is called to this atypical as well as aggressive form of tuberculosis, specially when It occurs in patients that might be immunosuppressed.</span><span style="font-size: 10pt; font-family: Arial"></span></p> |
| first_indexed | 2024-12-22T10:08:35Z |
| format | Article |
| id | doaj.art-597d540a95b840079efe5489a1930745 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-12-22T10:08:35Z |
| publishDate | 1989-01-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-597d540a95b840079efe5489a19307452022-12-21T18:29:56ZspaUniversidad de AntioquiaIatreia0121-07932011-79651989-01-01217883Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitisLazaro Vélez<p class="MsoNormal"><span style="font-size: 9pt; font-family: Arial">La Iinfadenitis</span><span style="font-size: 9pt; font-family: Arial"> tuberculosa del adulto afecta los ganglios intratorácicos sólo en 5-7% de los casos y generalmente produce poco compromiso sistémico. Se presenta el caso de una mujer de 21 anos que murió en Insuficiencia respiratoria debida a la obstrucción bronquial causada por grandes adenopatias hiliares y mediastinales y derrame pleural masivo bilateral. La Incidencia de tuberculosis pulmonar en Medellín durante 1986 fue de 85.3 casos nuevos por 100.000 habitantes, de los cuales muere aproximadamente 8-9% por ano. De la mortalidad en general, menos del 20¡0 se debe a Insuficiencia respiratoria. No se encontraron Informes en la literatura médica de obstrucción bronquial por Iinfadenopatia tuberculosa como causa de muerte. Se piensa que las malas condIcIones socioeconómicas, el consumo de narcóticos y la coexistencia de enfermedades venéreas, contribuyeron al curso fulminante de esta paciente. Se pretende llamar la atención acerca de esta presentación atípica y agresiva de la tuberculosis, especialmente en pacientes que pudieran estar inmunocomprometidos.</span><span></span></p> <p class="MsoNormal"><span style="font-size: 9pt; font-family: Arial">Tuberculous Iymphadenitis in adults affects intrathoracic lymph nodes in only 5- 7% of the cases and It usually does not produce Important systemic involvement. The case of a 21 year-old woman who died of respiratory insufficiency due to bronchial obstruction caused by large hilar and mediastinal lymphadenopathies and bilateral massive pleural effusion is presented. The incidence of pulmonary tuberculosis was 85.3 new cases per 100.000 inhabitants in 1986, in Medellín, Colombia. Mortality can be calculated between 8-9% per year and, of them, only 2% die as a result of respiratory insufficiency. No previous report9 of fatal bronchial obstruction due to tuberculosis Iymphadenopathy were found in the literature. Poor socioeconomic conditions, narcotic drug consumption and the concurrent venereal diseases the presented contributed to the fulminant course observed in this patient. Attention Is called to this atypical as well as aggressive form of tuberculosis, specially when It occurs in patients that might be immunosuppressed.</span><span style="font-size: 10pt; font-family: Arial"></span></p>http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/745Tuberculosisfalla respiratorialinfadenitis |
| spellingShingle | Lazaro Vélez Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis Iatreia Tuberculosis falla respiratoria linfadenitis |
| title | Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| title_full | Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| title_fullStr | Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| title_full_unstemmed | Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| title_short | Linfadenitis intratorácica, falla respiratoria y muerte por tuberculosis Fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| title_sort | linfadenitis intratoracica falla respiratoria y muerte por tuberculosis fatal respiratory failure due to tuberculous intrathoracic lymphadenitis |
| topic | Tuberculosis falla respiratoria linfadenitis |
| url | http://www.iatreia.udea.edu.co/index.php/iatreia/article/view/745 |
| work_keys_str_mv | AT lazarovelez linfadenitisintratoracicafallarespiratoriaymuerteportuberculosisfatalrespiratoryfailureduetotuberculousintrathoraciclymphadenitis |