Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Anais da Faculdade de Medicina de Olinda (Online) |
Texto Completo: | https://afmo.emnuvens.com.br/afmo/article/view/30 |
Resumo: | The combination of pulmonary sequestration, tuberculosis and primary immunodeficiency is a rare condition, with few cases described in the literature. The purpose is to report a case of a female child with extralobar pulmonary sequestration, primary immunodeficiency and association with pulmonary tuberculosis. Case report: ALLV, two year-old, female, was born by cesarean section, with gestational age of 39 weeks, with low an rectal agenesis and ventricular septal defect. She evolved with asthma bronchiolitis and three episodes of pneumonia, resistant to conventional treatments. After vaccination with BCG she developed BCGite, which was treated with isoniazid for 6 months. In the last episode of pneumonia considered as nonspecific she evolved without adequate response to the therapeutics scheme. She underwent a therapeutic test for pulmonary tuberculosis. She received medical investigation, which detected congenital malformations of the tracheobronchial tree, such as right tracheal bronchus and left extralobar pulmonary sequestration and left middle lobesyndrome with bronchial fistula, highly suggestive of tuberculosis. She was kept on medication for tuberculosis with progressive improvement of general condition and growth and adequate developments. Comments: The association of pulmonary sequestration, immunodeficiency and tuberculosis is rare. Occasionally the dysplastic lung mass (pulmonary sequestration) may be the site of multiple pyogenic infection and rarely tuberculosis, as it happens in the reported case. The precedence of the tuberculosis treatment is necessary so that, after infection control, therapeutic approaches to the various malformations will bedecided. In the future, these anomalies may cause complications that can put the patient's life at risk. |
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Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case reportSequestro pulmonar extralobar esquerdo combinado com tuberculose pulmonar: Relato de casoAnormalidades congênitasSequestro broncopulmonarTuberculoseCriançaImunodeficiênciaCongenital abnormalitiesBronchopulmonary sequestrationTuberculosisChildImmunodeficiencyThe combination of pulmonary sequestration, tuberculosis and primary immunodeficiency is a rare condition, with few cases described in the literature. The purpose is to report a case of a female child with extralobar pulmonary sequestration, primary immunodeficiency and association with pulmonary tuberculosis. Case report: ALLV, two year-old, female, was born by cesarean section, with gestational age of 39 weeks, with low an rectal agenesis and ventricular septal defect. She evolved with asthma bronchiolitis and three episodes of pneumonia, resistant to conventional treatments. After vaccination with BCG she developed BCGite, which was treated with isoniazid for 6 months. In the last episode of pneumonia considered as nonspecific she evolved without adequate response to the therapeutics scheme. She underwent a therapeutic test for pulmonary tuberculosis. She received medical investigation, which detected congenital malformations of the tracheobronchial tree, such as right tracheal bronchus and left extralobar pulmonary sequestration and left middle lobesyndrome with bronchial fistula, highly suggestive of tuberculosis. She was kept on medication for tuberculosis with progressive improvement of general condition and growth and adequate developments. Comments: The association of pulmonary sequestration, immunodeficiency and tuberculosis is rare. Occasionally the dysplastic lung mass (pulmonary sequestration) may be the site of multiple pyogenic infection and rarely tuberculosis, as it happens in the reported case. The precedence of the tuberculosis treatment is necessary so that, after infection control, therapeutic approaches to the various malformations will bedecided. In the future, these anomalies may cause complications that can put the patient's life at risk.A combinação de sequestro pulmonar com tuberculose é condição rara, com poucos casos descritos na literatura,particularmente quando se associa à imunodeficiência primária. O objetivo é relatar um caso de criança do gênero feminino com agenesia anorretal baixa, sequestro pulmonar extralobar, imunodeficiência inata e associação com tuberculose pulmonar. Descrição do caso: ALLV, dois anos, feminino, nasceu de parto cesariano, com idade gestacional de 39 semanas, com agenesia anorretal baixa e comunicação interventricular. Evoluiu com bronquiolites asmatiformes e três episódios de pneumonias resistentes aos tratamentos convencionais. Após vacinação com BCG desenvolveu BCGite sendo tratada com isoniazida porseis meses. No último episódio de pneumonia, tida como inespecífica, evoluiu sem resposta adequada às terapêuticas instituídas tendo se submetido a teste terapêutico para tuberculose pulmonar. Realizou exames que detectaram malformações congênitas da árvore traqueobrônquica, como brônquio traqueal direito, sequestro pulmonar extralobar esquerdo e síndrome do lobo médioesquerdo com fístula brônquica altamente sugestiva de tuberculose. Manteve-se com medicação para tuberculose com melhora progressiva do estado geral e crescimento e desenvolvimentos adequados. Comentários: A associação de sequestro pulmonar e tuberculose é rara e, ocasionalmente, a massa pulmonar displásica (sequestro pulmonar) pode ser sede de múltiplas infecções piogênicas ou específicas. A precedência do tratamento da tuberculose está sendo necessária para que, após controle da infecção,sejam decididas as abordagens terapêuticas das diversas malformações existentes neste caso, visto que, podem ocasionar no futuro complicações que coloquem a vida da paciente em risco.Faculdade de Medicina de Olinda2018-08-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://afmo.emnuvens.com.br/afmo/article/view/3010.56102/afmo.2018.30Annals of Olinda Medical School; Vol. 1 No. 2 (2018); 35-41Anais da Faculdade de Medicina de Olinda; v. 1 n. 2 (2018); 35-412674-84872595-1734reponame:Anais da Faculdade de Medicina de Olinda (Online)instname:Faculdade de Medicina de Olinda (FMO)instacron:FMOporhttps://afmo.emnuvens.com.br/afmo/article/view/30/28Santos Cavalcanti Melo, Maria Cecília Lourenço de Moraes Soares, Monize Naarade Paula Pereira, Renata CristinaFurini da Silva, AlineTeixeira Brandt, Carlosinfo:eu-repo/semantics/openAccess2023-07-04T18:10:39Zoai:ojs.afmo.emnuvens.com.br:article/30Revistahttps://afmo.emnuvens.com.br/afmoPUBhttps://afmo.emnuvens.com.br/afmo/oaianaisfmo@fmo.edu.br2674-84872595-1734opendoar:2023-07-04T18:10:39Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO)false |
dc.title.none.fl_str_mv |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report Sequestro pulmonar extralobar esquerdo combinado com tuberculose pulmonar: Relato de caso |
title |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
spellingShingle |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report Santos Cavalcanti Melo, Maria Cecília Anormalidades congênitas Sequestro broncopulmonar Tuberculose Criança Imunodeficiência Congenital abnormalities Bronchopulmonary sequestration Tuberculosis Child Immunodeficiency |
title_short |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
title_full |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
title_fullStr |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
title_full_unstemmed |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
title_sort |
Lung extralobal pulmonary sequestral combined with pulmonary tuberculosis: Case report |
author |
Santos Cavalcanti Melo, Maria Cecília |
author_facet |
Santos Cavalcanti Melo, Maria Cecília Lourenço de Moraes Soares, Monize Naara de Paula Pereira, Renata Cristina Furini da Silva, Aline Teixeira Brandt, Carlos |
author_role |
author |
author2 |
Lourenço de Moraes Soares, Monize Naara de Paula Pereira, Renata Cristina Furini da Silva, Aline Teixeira Brandt, Carlos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Santos Cavalcanti Melo, Maria Cecília Lourenço de Moraes Soares, Monize Naara de Paula Pereira, Renata Cristina Furini da Silva, Aline Teixeira Brandt, Carlos |
dc.subject.por.fl_str_mv |
Anormalidades congênitas Sequestro broncopulmonar Tuberculose Criança Imunodeficiência Congenital abnormalities Bronchopulmonary sequestration Tuberculosis Child Immunodeficiency |
topic |
Anormalidades congênitas Sequestro broncopulmonar Tuberculose Criança Imunodeficiência Congenital abnormalities Bronchopulmonary sequestration Tuberculosis Child Immunodeficiency |
description |
The combination of pulmonary sequestration, tuberculosis and primary immunodeficiency is a rare condition, with few cases described in the literature. The purpose is to report a case of a female child with extralobar pulmonary sequestration, primary immunodeficiency and association with pulmonary tuberculosis. Case report: ALLV, two year-old, female, was born by cesarean section, with gestational age of 39 weeks, with low an rectal agenesis and ventricular septal defect. She evolved with asthma bronchiolitis and three episodes of pneumonia, resistant to conventional treatments. After vaccination with BCG she developed BCGite, which was treated with isoniazid for 6 months. In the last episode of pneumonia considered as nonspecific she evolved without adequate response to the therapeutics scheme. She underwent a therapeutic test for pulmonary tuberculosis. She received medical investigation, which detected congenital malformations of the tracheobronchial tree, such as right tracheal bronchus and left extralobar pulmonary sequestration and left middle lobesyndrome with bronchial fistula, highly suggestive of tuberculosis. She was kept on medication for tuberculosis with progressive improvement of general condition and growth and adequate developments. Comments: The association of pulmonary sequestration, immunodeficiency and tuberculosis is rare. Occasionally the dysplastic lung mass (pulmonary sequestration) may be the site of multiple pyogenic infection and rarely tuberculosis, as it happens in the reported case. The precedence of the tuberculosis treatment is necessary so that, after infection control, therapeutic approaches to the various malformations will bedecided. In the future, these anomalies may cause complications that can put the patient's life at risk. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://afmo.emnuvens.com.br/afmo/article/view/30 10.56102/afmo.2018.30 |
url |
https://afmo.emnuvens.com.br/afmo/article/view/30 |
identifier_str_mv |
10.56102/afmo.2018.30 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://afmo.emnuvens.com.br/afmo/article/view/30/28 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina de Olinda |
publisher.none.fl_str_mv |
Faculdade de Medicina de Olinda |
dc.source.none.fl_str_mv |
Annals of Olinda Medical School; Vol. 1 No. 2 (2018); 35-41 Anais da Faculdade de Medicina de Olinda; v. 1 n. 2 (2018); 35-41 2674-8487 2595-1734 reponame:Anais da Faculdade de Medicina de Olinda (Online) instname:Faculdade de Medicina de Olinda (FMO) instacron:FMO |
instname_str |
Faculdade de Medicina de Olinda (FMO) |
instacron_str |
FMO |
institution |
FMO |
reponame_str |
Anais da Faculdade de Medicina de Olinda (Online) |
collection |
Anais da Faculdade de Medicina de Olinda (Online) |
repository.name.fl_str_mv |
Anais da Faculdade de Medicina de Olinda (Online) - Faculdade de Medicina de Olinda (FMO) |
repository.mail.fl_str_mv |
anaisfmo@fmo.edu.br |
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1796798259861127168 |