Ana Filipe Almeida1, Filipe Macedo2
1 Interna Complementar de Pediatria – CH Alto Ave - EPE
2 Especialista em Radiodiagnóstico – SMIC, Porto
ABSTRACT
The authors report a case of pleural tuberculosis in a 15-year-old boy submitted to screening after his father was diagnosed with the disease.
This patient had constitutional symptoms in the last two months (such as significant weight loss, fatigue, anorexia and night sweats) but no respiratory complains.
The thoracic X-ray complemented by a CT scan revealed pleural effusion with minimal pulmonary changes. Pleural fluid analysis and pleural biopsy confirmed the diagnosis of pleural tuberculosis.
]]> This case highlights the non specific clinic and imaging findings in tuberculosis and the need for a high index of suspicion to reach the diagnosis.Keywords: tuberculosis, pleural effusion
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BIBLIOGRAFIA
1. Woodring JH, Vandiviere HM, Fried AM, Dillon ML, Williams TD, Melvin IG. Update: the radiographic features of pulmonary tuberculosis. AJR 1986; 146 497-506
2. Jones BE, Ryu R, Yang Z , et al. Chest radiographic findings in patients with tuberculosis with recent or remote infection. Am J Respir Crit Care med 1977; 156: 1270-3
3. Jeong YJ, Lee KS. Pulmonary tuberculosis: Up-to-date Imaging and Management. AJR 2008; 191: 834-44 [ Links ] ]]>