Resumo

DIAZ TOLEDO, Manuel et al. Tuberculous pneumonia. Case presentation. Rev haban cienc méd [online]. 2012, vol.11, suppl.5, pp. 626-632. ISSN 1729-519X.

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 Neumológico Benéfico Jurídico 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.

Palavras-chave : pneumonia; lung TB; bacterial pneumonia.

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