RESUMO
Presentamos el caso de un hombre de 47 años, sin antecedentes patológicos importantes, que ingresa a cargo de neumología con clínica de disnea lentamente progresiva, objetivándose un derrame pleural izquierdo. Los antecedentes epidemiológicos del paciente, su evolución clínica y el análisis citobioquímico del líquido pleural, orientaban inicialmente al diagnóstico de tuberculosis (TBC) pleural. Sin embargo, la biopsia pleural realizada para completar el estudio confirmó el diagnóstico definitivo de Linfoma linfoblástico tipo T. El paciente pasó a cargo del Servicio de hematología, comenzando tratamiento quimioterápico tras realizar estudio de extensión. Posteriormente a varias complicaciones que surgen durante dicho tratamiento, el paciente es dado de alta y continua en seguimiento, permaneciendo actualmente en estado de remisión completa
We present the case of a 47-year-old male, without any significant history of disease, who was admitted to the pulmonology department with slowly progressing dyspnea. A left pleural effusion was observed. The patient's epidemiological background, clinical progress and the cytobiochemical analysis of the pleural fluid initially pointed towards a diagnosis of pleural tuberculosis (TB). However, the pleural biopsy done to complete the study confirmed a definitive diagnosis of t-cell lymphoblastic lymphoma. The patient was transferred to the Hematology department, beginning a chemotherapy treatment after the completion of an extended study. After several complications that arose during said treatment, the patient was released and continues follow-up. He is currently in a state of complete remission
