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Vol. 13. Issue 3.
Pages 142-146 (July - September 1977)
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Vol. 13. Issue 3.
Pages 142-146 (July - September 1977)
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Asociacion de tuberculosis pulmonar activa y neumonia bacteriana aguda presentacion de cuatro casos
Association of pulmonary tuberculosis and bacterial pneumonia. Presentation of four cases
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F. Cardenal Alemany, R. Pujol Farriols, F. Gudiol Munté
Ciudad Sanitaria Principes de España. Hospitalet de Llobregat. Barcelona
F. Fernández-Nogués
Servicio de Medicina Interna. Hospitalet de Llobregat. Barcelona
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Resumen

Los autores presentan cuatro casos en los que pudieron comprobar la coexistencia de tuberculosis pulmonar activa con neumonía bacteriana aguda, asociación descrita escasamente en la literatura.

La neumonía bacteriana puede conducir al hallazgo fortuito de una lesión tuberculosa activa a distancia, o bien, puede condicionar la reactivación de antiguos focos caseosos.

La práctica de intradermorreacción con PPD y cultivo en medio de Löwenstein-Jensen del esputo o contenido gástrico de todos los pacientes que ingresan por neumonía en un hospital, y en especial de aquellos que presentan una resolución radiológica lenta, contribuirá sin duda a conocer mejor la frecuencia real y la patogenia de esta asociación.

Summary

The authors present four cases in which they could verify coexistence of active pulmonary tuberculosis with acute bacterial pneumonia, an association rarely described in literature.

Bacterial pneumonia can lead to the fortuitous finding of an active tuberculous lesion at distance, or rather, can condition the reactivation of old caseous foci.

Intradermoreaction with PPD and culture in Lowenstein-Jensen's medium of the spuntum or gastric contents, of all the patients admitted in a hospital pneumonia, especially those that present slow radiological resolution, without doubt, would contribute to a better knowledge of the real frequency and pathogenesis of this association.

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Copyright © 1977. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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