RESUMO
No disponible
Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Vasculite do Sistema Nervoso Central/tratamento farmacológico , Eosinofilia Pulmonar/tratamento farmacológico , Anticorpos Monoclonais/administração & dosagem , Vasculite do Sistema Nervoso Central/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Eosinofilia Pulmonar/diagnóstico por imagem , Resultado do Tratamento , Injeções SubcutâneasRESUMO
Paciente de sexo masculino de 62 años de edad. Motivo de consulta: disnea progresiva de 5 días de evolución; clase funcional I a III sin otros síntomas. Presenta antecedentes personales patológicos de HIV de 8 años de evolución sin tratamiento antirretroviral por tener carga viral baja y recuento normal de CD4; insuficiencia renal crónica secundaria a nefritis túbulo intersticial asociada al consumo de AINES por lumbalgia. El paciente es tabaquista activo con un índice de 15 paquetes/año
Assuntos
Síndrome da Imunodeficiência Adquirida , HIV , Lesão PulmonarRESUMO
We studied pulmonary and extra-pulmonary and pleural tuberculosis tuberculosis (TB) (EPPT) in HIV negative patients in a tertiary hospital. We retrospectively studied all the in patients diagnosed EPPT over the last three years. Clinical data was obtained from the medical records. Forty four patients were diagnosed with TB. 15.9% (n=7) had extrapleural involvement. Mean age of patients was 44-years-old (18 to 74) and 5 patients were Argentinian, 1 was Peruvian and 1 Bolivian. Three patients had pulmonary manifestations too. The most frequent location was in ganglions (3 cases). The clinical symptoms were non-specific. The main symptoms and signs were related to the involved area. The time to reach the diagnosis was 16 days, and it was done by biopsy results. The mean days of hospitalization was 44, and the mortality was 57% of the patients.
