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Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2020, Number 4

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Rev Latin Infect Pediatr 2020; 33 (4)

Simultaneous pleural and peritoneal tuberculosis in adolescent: case report

Martins MG, Jordão ST, Vanderlei ZE

Language: English
References: 26
Page: 204-209
PDF size: 181.31 Kb.


ABSTRACT

The clinical manifestations are not specific on extrapulmonary tuberculosis and the infectious agent difficult detection do not able to diagnose this disease quickly, so the treatment is late due to a later diagnosis. This scientific article seeks for clinical and epidemiological aspects about peritoneal tuberculosis associated to pleura through this case report. The analytical features about social demographic, clinical and laboratorial variables was obtained from medical records. The diagnosis is suspected by unknown cause for pleural and peritoneal effusion dragged clinical history in young patient, and it is associated to present monocytic cells and high-level Adenosine Deaminase (ADA) in pleural and peritoneal liquid, beyond positive tuberculin skin test. The diagnostic confirmation was performed from gamma interferon (IFN-γ) serum positivity and caseous necrosis granulomatous inflammatory process pleural fragment biopsy.


REFERENCES

  1. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Coordenação Geral do Programa Nacional de Controle da Tuberculose. Manual de Recomendações para o Controle da Tuberculose no Brasil. Brasília, 2019. [acesso em 22 set 2019]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/manual_recomendacoes_controle_tuberculose_brasil_2_ed.pdf

  2. San Pedro A, Oliveira RM. Tuberculose e indicadores socioeconômicos: revisão sistemática da literatura. Rev Panm Salud Publica. 2013; 33 (4): 294-301.

  3. World Health Organization (WHO). Global tuberculosis report. 2017. [Acesso em 22 set 2019]. Disponível em: https://www.who.int/tb/publications/global_report/gtbr2017_main_text.pdf

  4. Mello FCQ, Silva DR, Dalcomo MP. Tuberculose: onde estamos? J Bras Pneumol. 2018; 44 (2): 82-82.

  5. Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Secretaria de Vigilância em Saúde. Brasil Livre da Tuberculose: evolução dos cenários epidemiológicos e operacionais da doença. Boletim Epidemiológico. 2019; 50 (9). Acesso em 16 de jan 2020. Disponível em: http://portalarquivos2.saude.gov.br/images/pdf/2019/marco/22/2019-009.pdf

  6. Carvalho ACC, Cardoso CAA, Martire TM, Migliori GB, Sant’Anna CC. Aspectos epidemiológicos, manifestações clínicas e prevenção da tuberculose pediátrica sob a perspectiva da Estratégia End TB. J Bras Pneumol. 2018; 44 (2): 134-144.

  7. Rodríguez R. tuberculosis pleural em paciente pediátrico: reporte de un caso y revisión de la literatura. Neumol Pediatr. 2018; 13 (1): 29-31.

  8. Shaw JA, Diacon AH, Koegelenberg CFN. Tuberculous pleural effusion. Respiratory. 2019; 24: 962-971.

  9. Seiscento M, Conde MB, Dalcolmo MMP. Tuberculose pleural. J Bras Pneumol [Internet]. 2006 [cited 2019 Oct 16]; 32 (Suppl 4): S174-S181. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132006000900003&lng=en.

  10. Antonangelo A, Vatgas FS, Seiscento M, Bombarda S, Teixeira L, Sales RKB. Clinical and laboratory parameters in the diferential diagnosis of pleural effusion secondary to tuberculosis of cancer. Clinics. 2007; 52 (5): 585-590.

  11. Gopi A, Madhavan SM, Sharma SK, Sahn AS. Diagnosis and treatment of tuberculous pleural effusion in 2006. Chest. 2007; 131 (3): 880-889. doi: 10.1378/chest.06-2063.

  12. Silva CT Jr. Abordagem diagnostica da tuberculose pleural, ganglionar, renal e de sistema nervosos central. Pulmão RJ. 2012; 21 (1): 32-35.

  13. Kaisemann MC, Kritski AL, Pereira MFC, Trajman A. Dosagem da atividade da adenosina deaminae no liquido pleural para o diagnóstico da tuberculose pleural. J Bras Pneumol. 2004; 30 (6): 549-556.

  14. Rocha EL, Pedrassa BC, Bormann RL, Kierszenbaum, Torres LR, d’Ippolito G. Tuberculose abdominal: uma revisão radiológica com ênfase em achados de tomografia computadorizada e ressonância magnética. Radiol Bras. 2015; 48 (3): 181-191. Disponível em: http://dx.doi.org/10.1590/0100-3984.2013.1801

  15. Thoreau N, Fain O, Babinet P et al. Tuberculose péritonéale: 27 cas dans la banlieue nord-est de Paris N. Int J Tuberc Lung Dis. 2002; 6 (3): 253-258.

  16. Vaid U, Kane GC. Tuberculous peritonitis. Microbiol Spectrum. 2017; 5 (1):1-6. doi: 10.1128/microbiolspec.TNMI7-0006-2016

  17. Wanderley BR, Maquiné GA, Vieira GN, Tallo FS, Lopes RD, Lopes AC. Tuberculose peritoneal: um diagnóstico diferencial de abdômen agudo: relato de caso. Rev Soc Bras Clin Méd. 2012; 10 (6): 544-546.

  18. Cavalli Z, Ader F, Valour F, Saison J, Boussel L, Dumitrescu O et al. Clinical presentation, diagnosis, and bacterial epidemiology of peritoneal tuberculosis in two university hospitals in France. Infect Dis Ther. 2016; 5 (2): 193-199.

  19. Guirat A, Koubaa M, Mzali R, Abid B, Ellouz S, Affes N et al. Peritoneal tuberculosis. Clin Res Hepatol Gastroenterol. 2011; 35: 60-69.

  20. Ximenes ARG, Cavalcante Filho JRM, Bezerra DA, Guimarães Filho A, Adeodato WDC. Tuberculose peritoneal em paciente jovem imunocompetente: Relato de caso. Rev Med Minas Gerais. 2017; 26: 1-4. Disponível em: http://dx.doi.org/10.5935/2238-3182.20160149.

  21. Fonseca LG, Campos FPF, Silva AF. Tuberculose peritoneal: experiência em um hospital geral. Autopsy Case Rep [Internet]. 2011; 1 (2): 3-9. Acesso em 16 jan 2020. Disponível em: http://doi.editoracubo.com.br/10.4322/acr.2016.002

  22. Zaslavcky J, Gordon LM, Vasko I, Presenza T, Scattergood E, Meisli D et al. Tuberculous peritonitis in children: two cases reports highlighting the important role of imagining. Radiology Case Reports. 2018; 13: 862-866.

  23. Su S, Qin S, Guo XY, Luo W, Jiang X. Assessment by meta-analysis of interferon-gamma for the diagnosis of tuberculous peritonitis. World J Gastroenterol. 2013; 19 (10): 1645-1651.

  24. Chow KM, Chow VCY, Hung LCT, Wong SM, Szeto CC. Tuberculous peritonitis–associated mortality is high among patients waiting for the results of mycobacterial cultures of ascitic. Clin Infect Dis. 2002; 35: 409-413.

  25. Uzunkoy A, Harma M, Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol. 2004; 10 (24): 3647-3649.

  26. Fanlo P, Tiberio G. Tuberculosis extrapulmonar. An Sist Sanit Navar. 2007; 30 (3): 143-162.




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