Adenitis infecciosa. Parte 3 / Infectious adenitis. Part 3

Se analizó un grupo de pacientes que concurrieron a los consultorios externos de un hospital de enfermedades infecciosas, presentando como síntoma principal adenopatías regionales o generalizadas. El 78 se hallaban entre los 20 y 40 años de edad, el 56 fue de evolución aguda, predominando netamente la distribución regional, en especial la localización cervical. Se llegó al diagnóstico final en el 80 de los casos. En base a la experiencia realizada, se presenta un algoritmo diagnóstico y se establecen pautas de conducta ante este síndrome

Actinomicosis bronquial primaria y cuerpo extraño / Primary bronchial actinomycosis and foreign body

This paper presents the fourth case reported on the association of primary bronchial actinomycosis and foreign body. The pathogenesis of this rare association has been linked to the low respiratory tract and a foreign body (chicken bone); it depends on its characteristics and how long it has remained lodged into the bronchial tree. The diagnosis of this case was very difficult and late. Several endoscopy procedures were required in order to detect it. Our patient has been treated successfully with parenteral penicillin in association with an original bronchoscopic procedure using a laser technique to find the foreign body and take it out of the respiratory tract. We consider that it is necessary to remember this association in every patient who suffers from recurrent pneumonia, in those who are at risk of foreign body aspiration and when the presence of an endobronchial mass is suspected.