RESUMO
BACKGROUND: We report 10 cases of active endobronchial tuberculosis in female patients. PATIENTS AND METHODS: Diagnosis of endobronchial tuberculosis was established by demonstrating the presence of Koch bacilli in the bronchial washings or at pathology examination of a bronchial mucosa biopsy. Follow-up was available for 5 of the 10 cases. RESULTS: These women were aged 19 to 756 years. Clinical signs included persistent cough (n=10), wheezing (n=10), dyspnea (n=5), dysphonia (n=4) and fever (n=8). Chest x-ray was normal in 4 cases but showed condensation in 4 others with infiltration of the superior lobe in 2 cases. Bronchoscopy findings were characteristic with a thick layer of white caseum on the mucosa. Koch bacilli were found in all bronchial wash specimens. Pathology examination confirmed the diagnosis of tuberculosis in 5 of the 10 cases.
Assuntos
Broncopatias/diagnóstico , Doenças da Traqueia/diagnóstico , Tuberculose Pulmonar/diagnóstico , Adulto , Idoso , Anti-Inflamatórios/uso terapêutico , Antituberculosos/uso terapêutico , Biópsia , Broncopatias/complicações , Broncopatias/tratamento farmacológico , Broncopatias/microbiologia , Líquido da Lavagem Broncoalveolar/microbiologia , Broncoscopia , Tosse/microbiologia , Quimioterapia Combinada , Dispneia/microbiologia , Febre/microbiologia , Humanos , Pessoa de Meia-Idade , Sons Respiratórios/etiologia , Estudos Retrospectivos , Esteroides , Doenças da Traqueia/complicações , Doenças da Traqueia/tratamento farmacológico , Doenças da Traqueia/microbiologia , Estenose Traqueal/microbiologia , Estenose Traqueal/prevenção & controle , Resultado do Tratamento , Tuberculose Pulmonar/complicações , Tuberculose Pulmonar/tratamento farmacológico , Tuberculose Pulmonar/microbiologia , Distúrbios da Voz/microbiologiaRESUMO
Fetus in fetu is a rare condition in which a fetiform calcified mass often is present in the abdomen of its host, a newborn or an infant. We report on a case of a 19-month-old girl whose plain abdominal radiograph, ultrasonography, and computed tomography scan revealed a mass in which the contents favor a fetus in fetu rather than a teratoma. The noncalcified vertebral column invisible on the radiographs was identified by the pathologist; therefore, the nonvisualization of the vertebral axis on radiography or on computed tomography scan does not exclude the diagnosis of fetus in fetu.
Assuntos
Calcinose , Morte Fetal , Gêmeos , Feminino , Morte Fetal/diagnóstico por imagem , Humanos , Lactente , Tomografia Computadorizada por Raios XRESUMO
We report on a 7 year-old-girl with mandibulo-acral dysplasia. When she was 3 years of age it mimicked scleroderma because of skin atrophy and later on a Hutchinson-Gilford progeria syndrome (HGP). Acro-mandibular dysplasia was diagnosed because of facial hypoplasia and mandibular hypoplasia. The bilateral proximal mid-humeral notch seen in this case is unusual.
Assuntos
Doenças do Desenvolvimento Ósseo/diagnóstico por imagem , Clavícula/anormalidades , Anormalidades Craniofaciais/diagnóstico por imagem , Mandíbula/anormalidades , Micrognatismo/diagnóstico por imagem , Anormalidades Múltiplas/diagnóstico por imagem , Anormalidades Múltiplas/genética , Doenças do Desenvolvimento Ósseo/genética , Osso e Ossos/diagnóstico por imagem , Criança , Aberrações Cromossômicas/genética , Transtornos Cromossômicos , Clavícula/diagnóstico por imagem , Anormalidades Craniofaciais/genética , Feminino , Genes Recessivos/genética , Humanos , Mandíbula/diagnóstico por imagem , Micrognatismo/genética , Radiografia , SíndromeAssuntos
Tórax em Funil/complicações , Imageamento por Ressonância Magnética , Estenose da Valva Tricúspide/diagnóstico , Adolescente , Diagnóstico Diferencial , Seguimentos , Tórax em Funil/diagnóstico , Tórax em Funil/diagnóstico por imagem , Humanos , Masculino , Radiografia Torácica , Fatores de Tempo , Estenose da Valva Tricúspide/diagnóstico por imagemRESUMO
We report a new case of tracheo-bronchial tuberculosis. Diagnosis was suggested on CT examination first and then confirmed by endoscopy and bacteriological examinations. We discuss the possible mechanisms of stenosis. We present the radiological features of tracheo-bronchial tuberculosis, mainly helical CT features and we discuss and illustrate differential diagnosis. We emphasize the role of 3 D and multiplanar reconstructed CT images that may help visualizing the stenosis at different levels, its craniocaudal extent as well as the boundaries between the stenosis and surrounding tissues. Moreover helical CT appears superior to bronchofibroscopy in diagnosing peribronchial infiltration.
Assuntos
Broncopatias/diagnóstico por imagem , Processamento de Imagem Assistida por Computador , Tomografia Computadorizada por Raios X , Doenças da Traqueia/diagnóstico por imagem , Estenose Traqueal/diagnóstico por imagem , Tuberculose/diagnóstico por imagem , Adolescente , Broncografia , Broncoscopia , Diagnóstico Diferencial , Humanos , Masculino , Sensibilidade e EspecificidadeRESUMO
We report the case of a 22-year-old woman with a large, bilateral lymphangiomatous cyst originating from the adrenal glands. Since she was having persistent pain and the diagnosis was uncertain, we did surgery.
Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Linfangioma Cístico/diagnóstico , Adulto , Feminino , Humanos , Dor/etiologia , Tomografia Computadorizada por Raios X , UrografiaRESUMO
We describe the case of an adolescent girl who had an isolated cranial sternal cleft without any associated abnormalities; the cleft had been well tolerated since her birth. A review of the literature shows that such cases are uncommon. In such cases, surgery is only for cosmetic reasons.
Assuntos
Anormalidades Múltiplas , Esterno/anormalidades , Adolescente , Feminino , Humanos , Índice de Gravidade de DoençaRESUMO
Hutchinson-Gilford progeria syndrome is a rare syndrome of premature aging with multiple skeletal abnormalities. We report one case. The literature is reviewed. Characteristics of 30 patients with radiological records are presented. Pronounced acro-osteolysis, osteolysis of the clavicle are the main features. Modern imaging is useful to diagnose the complications.
Assuntos
Progéria/diagnóstico , Adolescente , Diagnóstico Diferencial , Feminino , HumanosRESUMO
Endobronchial lipoma is an uncommon benign tumor. It is composed of fat tissue and is visible on CT scanner. We report an unusual case of a patient who developed two endobronchial lipomas. The first lipoma was removed 10 years earlier. We emphasize the contribution of computed tomography in the diagnosis of endobronchial lipoma. Cases of multiple lipomas are very scarce in the literature.
