RESUMO
La pandemia tuberculosa supone un problema de salud pública para muchos países, ya sean ricos o pobres. Su localización ORL extraganglionar es poco frecuente, y en la región faríngea predomina en el cavum. En un estudio retrospectivo sobre 3 años, se intentan poner de relieve, a través de 5 casos clínicos de tuberculosis faríngea, los aspectos epidemiológicos, clínicos, radiológicos, terapéuticos y pronósticos de esta enfermedad. Sus aspectos clínicos no son específicos, y suelen prestarse a confusión con afección tumoral. El diagnóstico positivo se orienta por los datos clínicos y radiológicos y se confirma por anatomopatología (AU)
Tuberculosis is a public health problem for many countries, whether rich or poor. Extranodal ENT locations are rare, and it prevails in the cavum in the pharyngeal region. Based on a 3-year retrospective study of 5 clinical cases, the authors aim to highlight the epidemiological, clinical, radiological, therapeutic and prognostic aspects of this disease. Clinical aspects are not specific and there is often confusion in the differential diagnosis with tumoral lesions. Positive diagnosis is guided by the clinical and the radiological findings, and confirmed by histology (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Tuberculose/epidemiologia , Tuberculose , Faringe , Diagnóstico Diferencial , Mycobacterium tuberculosis/patogenicidade , Tuberculose Resistente a Múltiplos Medicamentos , Resistência a Múltiplos Medicamentos/fisiologia , Doenças Faríngeas/complicações , Doenças Faríngeas/diagnóstico , Doenças Faríngeas , Otolaringologia/métodos , Estudos Retrospectivos , Doenças Endêmicas/prevenção & controleRESUMO
Tuberculosis is a public health problem for many countries, whether rich or poor. Extranodal ENT locations are rare, and it prevails in the cavum in the pharyngeal region. Based on a 3-year retrospective study of 5 clinical cases, the authors aim to highlight the epidemiological, clinical, radiological, therapeutic and prognostic aspects of this disease. Clinical aspects are not specific and there is often confusion in the differential diagnosis with tumoral lesions. Positive diagnosis is guided by the clinical and the radiological findings, and confirmed by histology.
Assuntos
Faringite/epidemiologia , Tuberculose/epidemiologia , Antituberculosos/uso terapêutico , Quimioterapia Combinada , Seguimentos , Humanos , Mycobacterium tuberculosis/isolamento & purificação , Pandemias , Faringite/diagnóstico , Faringite/diagnóstico por imagem , Faringite/tratamento farmacológico , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Teste Tuberculínico , Tuberculose/diagnóstico , Tuberculose/diagnóstico por imagem , Tuberculose/tratamento farmacológicoRESUMO
BACKGROUND: Splenic abcess is an uncommon complication for cancer treatment. It occurs more frequently in immunocompromised patients. They are characterized by high mortality. The classic triad (fever, pain of the left hypochondrium, and sensitive mass left) is only present in one-third of cases the clinical spectrum ranging from no symptoms to events such as fever, nausea, vomiting, weight loss, abdominal pain left, splenomegaly. Treatment options are limited, but must be discussed and adapted to the patient profile. CASE PRESENTATION: We report the case of a 62-year-old Arabic male, diagnosed with metastatic lung adenocarcinoma, who, after several cycles of chemotherapy, presented symptoms and signs of splenic abcess. CONCLUSION: Splenic abcess is rare situation, which must be actively researched, to have access to an optimal therapeutic approach.
