Pleuritis tuberculosa: critica de las tecnicas de estudio de la biopsia pleural
Pleural tuberculosis: comments of the study of pleural biopsies
A. Leon jimenez, F. Rodriguez panadero, A. Cantos de la casa, J.J. Del rey perez, J. Lopez mejias
Servicios de Neumología y Microbiología. Ciudad Sanitaria Virgen del Rocío. Sevilla
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A study of 36 cases in a synthetic fiber mili" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Duce gracia, M.A. De gregorio ariza, M. Vila justribo, S. Bello dronda, F. Conget lopez, E. Jimenez ayllon" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Duce gracia" ] 1 => array:2 [ "nombre" => "M.A." "apellidos" => "De gregorio ariza" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Vila justribo" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Bello dronda" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Conget lopez" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Jimenez ayllon" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615320342?idApp=UINPBA00003Z" "url" => "/03002896/0000002200000004/v1_201509151036/S0300289615320342/v1_201509151036/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Pleuritis tuberculosa: critica de las tecnicas de estudio de la biopsia pleural" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "160" "paginaFinal" => "165" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Leon jimenez, F. Rodriguez panadero, A. Cantos de la casa, J.J. Del rey perez, J. Lopez mejias" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Leon jimenez" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Rodriguez panadero" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Cantos de la casa" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Del rey perez" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Lopez mejias" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Neumología y Microbiología. Ciudad Sanitaria Virgen del Rocío. Sevilla" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pleural tuberculosis: comments of the study of pleural biopsies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1985-10-11" "fechaAceptado" => "1986-03-12" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tras ser sometidos a biopsia pleural ciega o toracoscópica, 88 pacientes fueron diagnosticados de pleuritis tuberculosa por procedimientos histológicos y/o bacteriológicos. El líquido pleural mostró más de un 5% de células mesoteliales en un 15% de las ocasiones, y en tres pacientes se objetivaron células epitelioides en el estudio citológico.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se encontraron granulomas en el 78,5% de las muestras pleurales. La tinción de Ziehl-Neelsen sobre los cortes histopatológicos fue positiva en el 22,6%, destacando que en dos ocasiones se practicó en ausencia de granulomas, siendo a pesar de ello positiva para bacilos de Koch. La baciloscopia directa de las biopsias, realizada tras homogeneizar el tejido, fue positiva sin embargo en una sola ocasión (1,3%).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El cultivo de la biopsia en medio de Löwenstein fue positivo en el 54,8%, logrando éste, por sí solo, el diagnóstico en 8 pacientes (8,5%).</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La biopsia toracoscópica aportó poca rentabilidad adicional tras el fallo de la biopsia con aguja de Abrams.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los autores consideran que para el diagnóstico de pleuritis tuberculosa es conveniente realizar sobre la muestra de biopsia pleural estudio histopatológico, tinción de Ziehl-Neelsen sobre los cortes de tejido y cultivo en medio de Löwenstein con atmósfera normal y enriquecida con CO<span class="elsevierStyleInf">2</span>.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Pleural tuberculosis was diagnosed in 88 patients after histological or bacteriological study or both of blind or thorascopic pleural biopsy. The pleural fluid contained more than 5% mesothelial cells in more than 15% of all cases and cytological study disclosed epithelal cells in three patients.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Granulomas were found in 78.5% of pleural samples. Ziehl-Neelsen stain of histiopathological sections was positive in 22.6% with the sections being free of granuloma but containing Kock bacilli on two occasions. Only in one case was direct baciloscopy of the homogenized biopsy tissue positive (1.3%).</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Culture of the biopsy in Löwenstein's medium was positive in 54.8% and this method alone established the diagnosis in 8 patients (8.5%).</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Thorascopic biopsy did not prove an efficacious complementary diagnostic aid in cases where biopsy with the Abrams needle had not been successful.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The authors consider histopathological study, ZiehlNeelsen staining of biopsy sections and culture in Löwenstein medium with normal and enriched air the techniques of choice for the diagnosis of pleural tuberculosis.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 4 | 9 |
| 2024 October | 43 | 28 | 71 |
| 2024 September | 36 | 12 | 48 |
| 2024 August | 49 | 37 | 86 |
| 2024 July | 42 | 33 | 75 |
| 2024 June | 51 | 24 | 75 |
| 2024 May | 43 | 35 | 78 |
| 2024 April | 27 | 33 | 60 |
| 2024 March | 34 | 29 | 63 |
| 2024 February | 30 | 33 | 63 |
| 2024 January | 0 | 7 | 7 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 6 | 6 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 11 | 11 |
| 2023 July | 0 | 16 | 16 |
| 2023 May | 0 | 3 | 3 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 4 | 6 | 10 |
| 2023 February | 28 | 22 | 50 |
| 2023 January | 27 | 39 | 66 |
| 2022 December | 26 | 39 | 65 |
| 2022 November | 35 | 14 | 49 |
| 2022 October | 22 | 35 | 57 |
| 2022 September | 23 | 37 | 60 |
| 2022 August | 29 | 31 | 60 |
| 2022 July | 20 | 38 | 58 |
| 2022 June | 21 | 39 | 60 |
| 2022 May | 33 | 24 | 57 |
| 2022 April | 25 | 35 | 60 |
| 2022 March | 31 | 40 | 71 |
| 2022 February | 27 | 14 | 41 |
| 2022 January | 24 | 20 | 44 |
| 2021 December | 14 | 35 | 49 |
| 2021 November | 24 | 29 | 53 |
| 2021 October | 13 | 28 | 41 |
| 2021 September | 13 | 28 | 41 |
| 2021 August | 14 | 19 | 33 |
| 2021 July | 13 | 27 | 40 |
| 2021 June | 23 | 25 | 48 |
| 2021 May | 8 | 22 | 30 |
| 2021 April | 15 | 26 | 41 |
| 2021 March | 42 | 11 | 53 |
| 2021 February | 23 | 15 | 38 |
| 2021 January | 19 | 22 | 41 |
| 2020 December | 16 | 24 | 40 |
| 2020 November | 6 | 23 | 29 |
| 2020 October | 18 | 9 | 27 |
| 2020 September | 8 | 3 | 11 |
| 2020 August | 20 | 14 | 34 |
| 2020 July | 13 | 13 | 26 |
| 2020 June | 10 | 7 | 17 |
| 2020 May | 13 | 18 | 31 |
| 2020 April | 22 | 8 | 30 |
| 2020 March | 12 | 17 | 29 |
| 2020 February | 21 | 14 | 35 |
| 2020 January | 37 | 17 | 54 |
| 2019 December | 35 | 24 | 59 |
| 2019 November | 10 | 3 | 13 |
| 2019 October | 17 | 8 | 25 |
| 2019 September | 6 | 21 | 27 |
| 2019 August | 9 | 5 | 14 |
| 2019 July | 12 | 26 | 38 |
| 2019 June | 28 | 15 | 43 |
| 2019 May | 17 | 24 | 41 |
| 2019 April | 22 | 38 | 60 |
| 2019 March | 9 | 25 | 34 |
| 2019 February | 3 | 2 | 5 |
| 2019 January | 8 | 10 | 18 |
| 2018 December | 9 | 19 | 28 |
| 2018 November | 14 | 23 | 37 |
| 2018 October | 26 | 22 | 48 |
| 2018 September | 13 | 9 | 22 |
| 2018 May | 4 | 2 | 6 |
| 2018 April | 7 | 19 | 26 |
| 2018 March | 10 | 8 | 18 |
| 2018 February | 6 | 16 | 22 |
| 2018 January | 6 | 6 | 12 |
| 2017 December | 11 | 22 | 33 |
| 2017 November | 8 | 8 | 16 |
| 2017 October | 7 | 28 | 35 |
| 2017 September | 6 | 13 | 19 |
| 2017 August | 7 | 15 | 22 |
| 2017 July | 3 | 6 | 9 |
| 2017 June | 11 | 25 | 36 |
| 2017 May | 11 | 17 | 28 |
| 2017 April | 12 | 26 | 38 |
| 2017 March | 6 | 23 | 29 |
| 2017 February | 7 | 11 | 18 |
| 2017 January | 5 | 10 | 15 |
| 2016 December | 12 | 7 | 19 |
| 2016 November | 21 | 18 | 39 |
| 2016 October | 16 | 19 | 35 |
| 2016 September | 9 | 11 | 20 |
| 2016 August | 18 | 5 | 23 |
| 2016 July | 24 | 6 | 30 |
| 2016 June | 18 | 9 | 27 |
| 2016 May | 14 | 2 | 16 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 10 | 4 | 14 |
| 2016 January | 9 | 3 | 12 |
| 2015 December | 27 | 20 | 47 |
| 2015 November | 25 | 8 | 33 |
| 2015 October | 6 | 2 | 8 |
| 2015 September | 1 | 0 | 1 |
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