ABSTRACT
Introducción: La tuberculosis infantil, definida como la enfermedad infectocontagiosa producida por el bacilo de Koch en pacientes menores de 15 años, continúa siendo un problema de salud pública debido a la cantidad de casos que anualmente se informan, además de ser un desafío para el pediatra en el diagnóstico y tratamiento de esta enfermedad. Objetivo: Describir el caso de un paciente varón con un cuadro de tuberculosis multisistémica. Presentación de caso: Paciente varón de 13 años con un cuadro progresivo de pérdida de peso de 20 kilos en 3 meses, dolor abdominal de localización difusa, tos seca e hiporexia. En los exámenes realizados, se encontraron lesiones cavitarias pulmonares, múltiples adenopatías enteroperitoneales y baciloscopia positiva en heces y orina; con lo que se llegó al diagnóstico de tuberculosis sistémica infantil y se inició esquema antituberculoso. El paciente evolucionó favorablemente y se encuentra estable. Conclusiones: Ante un paciente pediátrico con síndrome consuntivo, procedente de una zona endémica, la tuberculosis debe ser una de las primeras opciones en el diagnóstico diferencial.
Introduction: Childhood tuberculosis, defined as the infectious-contagious disease caused by the Koch bacillus in patients under 15 years of age, continues to be a public health problem due to the number of cases that are reported annually; in addition to represent a challenge for the pediatrician in the diagnosis and treatment of this disease. Objective: Describe the case of a male patient with a picture of multisystem tuberculosis. Case presentation: A 13-year-old male patient with a progressive weight loss of 20 kg in 3 months, abdominal pain of diffuse location, dry cough and hyporexia. In the examinations carried out, pulmonary cavitary lesions, multiple enteroperitoneal adenopathies and positive smears in feces and urine were found; with which the diagnosis of systemic tuberculosis in children was reached and an antituberculous scheme was initiated. The patient progressed favorably and he is stable. Conclusions: In the case of a pediatric patient with a wasting syndrome, and coming from an endemic area, tuberculosis should be one of the first options in the differential diagnosis.
ABSTRACT
Two cases of spinal tuberculosis in atypical regions are presented; in the lumbosacral hinge and cranio-cervical regions respectively; focusing on the radiological appearance using Computed Tomography (CT) and Magnetic Resonance. With regard to these atypical presentations, the clinical history, epidemiology and radiology of spinal tuberculosis are reviewed.
Se presentan dos casos de tuberculosis espinal en localizaciones atípicas; la charnela lumbo-sacra y cráneo-cervical respectivamente; centrándonos en su aspecto radiológico por tomografía computarizada (TC) y resonancia magnética. A propósito de estas atípicas presentaciones se revisa la clínica, epidemiología y radiología de la tuberculosis en la columna vertebral.
Subject(s)
Humans , Male , Adult , Female , Aged, 80 and over , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Tuberculosis, Spinal/diagnosisABSTRACT
0.05), the drug adverse reaction rates were 25.5% vs 51.4%(P
ABSTRACT
The result of interference with the conductibility of the spinal cord is one of the most disabling and distressing complications of splnal tuberculosis. This fact was recognized as early as in 1779, when Pott published. The antituberculous drugs and improved surgical treatment have made possible a more effective treatment than before and improved the prognosis but not solved all problems completely. The following results were shown by analysis of 63 cases of spinal tuberculosls with neurological symptom experienced in the Department of Orthopedic Surgery, Seoul National University in the past 9.5 years from Jan. 1970 to Jun. 1979. 1. Number of cases In child was 15. (29%). 2. Pulmonary and other tuberculous diseases were manifested in 29 cases (46%). 3. Regions of the spine inovolved were most common In thoracic spine (43 cases), especially lower thoracic spine. 4. There were 49 early and 14 late paraplegia 5. There were 24 complete and 39 incomplete paraplegia. 6. Spastic type was more common than flaccid type. 7. Anterior fusion was done in 55 cases and costotransversectomy in 8. 8. There were 36 cases (57%) of complete recovery and 8 of fallure. 9. The prognosis for recovery from paraplegia appeared to depend on age, duration, type and onset of paraplegia.