RESUMO
A 25-year-old female with transfusion-associated acquired immunodeficiency syndrome (AIDS) treated with zidovudine (AZT) developed cervical lymph node enlargement. The histological study disclosed granulomas and the culture revealed M. tuberculosis. The patient was treated with isoniazid, rifampicin and pirazynamide and the lymphadenomegaly resolved. Five years later, with a CD4 cell count of 245, the lymph node enlargement reappeared, the biopsy and special studies confirming tuberculosis (TB). She was then given ciprofloxacin, azithromycin, ethambutol, amikacin and pirazynamide without success. In two instances the enlarged nodes were surgically removed. Facing progressive obstruction of both the airway and the esophagus, localized radiotherapy (1800 cGy in nine fractions) to the right aspect of the neck was delivered with dramatic resolution of the node enlargement; however, dissemination of the infection leading to a severe lung infiltration and respiratory failure ended the life of the patient.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Tuberculose dos Linfonodos/complicações , Tuberculose dos Linfonodos/radioterapia , Adulto , Feminino , Humanos , Mycobacterium tuberculosisRESUMO
Los autores informan sus resultados con el empleo del ultrasonido en 40 enfermos que presentaban diversas opacidades en las radiografias simples del torax. La utilidad global del ultrasonido fue 60%; en enfermos con derrame pleural 100%, en el examen del hemidiafragma derecho 75%, en las lesiones del mediastino 62.5% y en las neoplasias pulmonares 33.3%. Concluyen que el metodo es util en las lesiones contiguas a la pared toracica y para dirigir una puncion para biopsia o toracocentesis
