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An Sist Sanit Navar ; 30 Suppl 2: 33-48, 2007.
Artigo em Espanhol | MEDLINE | ID: mdl-17898827


The clinical manifestations of thoracic tuberculosis are highly varied and unspecific, and can be superimposed on that of any other bacterial infection that affects the same organs. What is especially notable is the high frequency with which the primary infection goes unnoticed and the persistence of the symptomology in the secondary infection. This review analyses the most common signs and symptoms and the frequency of their presentation. Thoracic tuberculosis has a series of patterns of presentation and cure that, although equally varied and non-pathognomonic, are on occasion highly characteristic, with their discovery making possible a high level of diagnostic suspicion. We describe all the patterns of presentation of all the classically accepted primary and post-primary tuberculosis and their frequency, as well as the radiological characteristics of the most relevant complications and sequels.

Tuberculose Pulmonar/diagnóstico , Humanos , Radiografia , Tuberculose Pulmonar/complicações , Tuberculose Pulmonar/diagnóstico por imagem
An. sist. sanit. Navar ; 28(supl.1): 101-106, 2005. tab
Artigo em Espanhol | IBECS | ID: ibc-038448


El carcinoma broncopulmonar es la primera causade muerte por cáncer en varones, siendo su principalcausa el consumo de tabaco; no obstante, diversosestudios han atribuido un tanto por ciento no despreciablede su etiología a la exposición laboral a agentesconsiderados cancerígenos como el asbesto, con elque tiene relación la mitad de los casos de cáncer pulmonarde origen laboral. Dada la baja supervivencia deesta patología, son de suma importancia las medidasde prevención encaminadas a identificar los agentescancerígenos y a la disminución de su exposición.Puesto que la presentación clínica no difiere del carcinomarelacionado con el tabaco, un alto grado de sospecha,basado en una cuidadosa historia laboral, esfundamental para su diagnóstico. Debido el efectosinérgico del tabaco, medidas destinadas a disminuirsu consumo, continúan siendo de suma importancia enla población expuesta

Bronchopulmonary carcinoma is the first cause ofdeath by cancer in males, its principal cause beingtobacco consumption. Nonetheless, different studieshave attributed a certain, by no means negligiblepercent of its aetiology to the occupational exposure toagents considered carcinogenic such as asbestos, withwhich half of the cases of occupational lung cancer arerelated. Given the low survival rate of this pathology,preventive measures directed at identifyingcarcinogenic agents and reducing exposure to them areextremely important. Given that the clinicalpresentation does not differ from tobacco-relatedcarcinoma, a high level of suspicion, based on ameticulous occupational history, is fundamental to itsdiagnosis. Due to the synergic effect of tobacco,measures aimed at reducing its consumption continueto be extremely important in the exposed population

Masculino , Humanos , Carcinoma Broncogênico/diagnóstico , Carcinoma Broncogênico/etiologia , Carcinógenos/classificação , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/mortalidade , Amiantos Anfibólicos/efeitos adversos , Asbestos Serpentinas/efeitos adversos , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Radônio/efeitos adversos , Sílica Livre , Arsênico/efeitos adversos , Doenças Profissionais , Exposição Ocupacional/efeitos adversos
Rev Clin Esp ; 199(1): 13-7, 1999 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-10089771


Hydatidosis in Spain has been a relevant public health problem which has been partly solved due to the implementation of different preventive programs. In this work the thoracic hydatidosis cases diagnosed at our hospital during the last 15 years are reported. Forty patients with thoracic hydatidosis are analyzed. Most of them had pulmonary hydatidosis (32), 14 had liver and lung cysts, and in eight cases of thoracic hydatidosis there was no pulmonary involvement; eight patients had been operated previously because of hydatidosis. A discussion follows of the epidemiologic, clinical and radiologic characteristics, as well as laboratory data, endobronchial changes, diagnostic cost/effectiveness of bronchoscopy when performed, and results after surgery. To remark the high percentage of complicated hydatidosis and uncommon locations, seven cases of multiple hydatidosis (two of them with cardiac involvement), five cases had hepato-thoracic communication, three with chest wall involvement, and one with exclusive cardiac involvement, as well as one case of calcified pulmonary hydatidosis. In most patients (37), treatment was surgery with a low number of complications at post-surgery (3). Three relapses were noted at follow-up.

Equinococose/diagnóstico , Doenças Torácicas/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Equinococose/complicações , Equinococose/cirurgia , Feminino , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Radiografia Torácica , Estudos Retrospectivos , Espanha/epidemiologia , Doenças Torácicas/complicações , Doenças Torácicas/cirurgia , Tomografia Computadorizada por Raios X