Tuberculosis primaria. / Primary tuberculosis

Se presenta el caso de un lactante de 9 meses de edad que presento tuberculosis primaria. Se discuten las caracteristicas clinicas de la enfermedad y se analizan los elementos complementarios del diagnostico y hallazgos necropsicos.Finalmente se presentan aspectos del diagnostico diferencial y tratamiento

[Bronchiolitis]. / Bronquiolitis.

Is an acute bronchial, obstructive disease of the infant caused mainly by the respiratory syncytial virus. It appears epidemically preceded by infections of the upper respiratory ducts, followed by coughing, dysnea, expiratory sibilants, suprasternal and subcostal during inspiration and radiologic evidences of choneking. In the differential diagnosis the physician must consider pulmonary dysgenesis, diaphragmatic hernia, congenital lobar emphysema, congenital cardiopathy, pneumothorax, obstruction due to foreign body, asthmatic crisis and fibrocystic disease. Fundamentally, two diagnoses should be discarded: 1) dyspenic bacterial bronchopneumonic syndrome; 2) prime infection T. B. bronchopneumonia with bronchiolitic syndrome.