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Use este identificador para citar ou linkar para este item: https://repositorio.ufba.br/handle/ri/14326
Tipo: Artigo de Periódico
Título: Pseudotumoral form of primary progressive tuberculosis: a diagnosis to be considered
Título(s) alternativo(s): Brazilian Journal of Infectious Diseases
Autor(es): Franco, Rosana
Santana, Maria Angélica Pinheiro Santos
Coelho Filho, João Carlos
Silva, Jorge L. Pereira
Autor(es): Franco, Rosana
Santana, Maria Angélica Pinheiro Santos
Coelho Filho, João Carlos
Silva, Jorge L. Pereira
Abstract: The diversity of clinical presentations of primary progressive tuberculosis (TB) and the difficulty in establishing the diagnosis of paucibacillary forms is the subject of painstaking research, as well as a cause of delay in therapy. We report the case of a 10-year-old black child who presented with chest pain and progressive widening of the upper mediastinum. Computerized tomography of the chest revealed multiple calcifications that were not identified with X-rays. Biopsy through mediastinoscopy was compatible with a diagnosis of tuberculosis. Despite exhaustive investigation that included direct examination, culture for mycobacteria and PCR (Polymerase Chain Reaction) of tissue samples, the etiologic agent was not revealed. Tuberculin conversion was observed during the follow-up and resolution period of the lesion, after administration of isoniazid, rifampicin and pyrazinamide. The nodal pseudotumoral form of tuberculosis is rare in immunocompetent children and it may simulate neoplastic disease; therefore, it should be included in the list of differential diagnoses of masses located in the anterosuperior mediastinum.
Palavras-chave: Lymph node tuberculosis
Pseudotumoral form
Diagnosis
Tipo de Acesso: Acesso Aberto
URI: http://repositorio.ufba.br/ri/handle/ri/14326
Data do documento: 2003
Aparece nas coleções:Artigo Publicado em Periódico (Faculdade de Medicina)

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