RESUMO
Multidrug-resistant tuberculosis (TB), extensively drug-resistant TB, and TB-human immunodeficiency virus (HIV) coinfection require a special approach in anti-TB treatment. Most patients cannot be successfully cured by conventional chemotherapy alone. They need a modern approach using minimally invasive therapeutic and surgical techniques. The novel approaches of collapse therapy techniques and minimally invasive osteoplastic thoracoplasty increase the effectiveness of complex anti-TB therapy. Achieving the required selective collapse of lung tissue in destructive pulmonary TB, especially in cases of drug resistance and/or HIV coinfection, leads to bacteriologic conversion, cavity closure, and successful cure.
Assuntos
Colapsoterapia/métodos , Toracoplastia/métodos , Tuberculose Pulmonar/cirurgia , Adulto , Antituberculosos/uso terapêutico , Tuberculose Extensivamente Resistente a Medicamentos/cirurgia , Tuberculose Extensivamente Resistente a Medicamentos/terapia , Feminino , Humanos , Pulmão/cirurgia , Masculino , Tuberculose Resistente a Múltiplos Medicamentos/cirurgia , Tuberculose Resistente a Múltiplos Medicamentos/terapia , Tuberculose Pulmonar/terapiaRESUMO
The phylogenetic placement of Jekelius brullei (Jekel, 1866) and J. punctulatus (Jekel, 1866) (Coleoptera: Geotrupidae) was assessed using mitochondrial and nuclear molecular data to discern contrasting nomenclatural views provided by López-Colón (1996) and the Catalogue of Palaearctic Coleoptera (Löbl et al. 2006). Our results support both the monophyletic and classification status of the genus Jekelius López-Colón, 1989; and the splitting of the genus into the subgenera Jekelius López-Colón, 1989 and Reitterius López-Colón, 1996. The basal phylogenetic placement of these two species also suggests an oriental origin for Jekelius within the western Palaearctic region. Finally, we include a potential distributional map of Jekelius (Reitterius) punctulatus (Jekel, 1866) based on an exhaustive search of occurrence data.
