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Clinical image
Tuberculoma Cavitation: A Rare Aspect of a Common Disease Clinical Image
Tuberculoma cavitado: un patrón inusual en la imagen clínica de una enfermedad común
Rosana Souza Rodriguesa,b, Miriam Menna Barretoa, Edson Marchioria,
Corresponding author
edmarchiori@gmail.com

Corresponding author.
a Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
b Instituto D’Or para Pesquisa e Educação, Rio de Janeiro, Brazil
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 28-year-old non-smoking woman presented with an abnormal chest radiograph acquired during a routine check-up&#46; The patient had a history of pulmonary tuberculosis treated 20 years previously&#46; Computed tomography &#40;CT&#41; of the thorax revealed a nodular lesion containing a focal calcification&#44; located in the apicoposterior segment of the left upper lobe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; The diagnosis of granuloma due to tuberculosis was suggested&#46; The patient refused surgical treatment&#46; The lesion was followed clinically&#46; Eight months after the initial CT examination&#44; the patient was admitted with productive cough&#44; weight loss&#44; and low-grade evening fever&#46; A new CT examination showed cavitation of the previously observed nodule&#44; with adjacent opacities&#44; suggestive of reactivation of the infectious process with bronchial dissemination &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#8211;D&#41;&#46; The patient&#39;s sputum was positive for acid-fast bacilli and a culture was positive for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Tuberculoma is one of the most common benign pulmonary nodules&#46; In general&#44; these nodules are well defined&#44; round or oval solitary lesions that frequently present with calcifications and&#47;or small peripheral &#40;satellite&#41; nodules&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a> There is no clear consensus on tuberculoma management strategy&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Although tuberculoma is a relatively common finding in patients with pulmonary tuberculosis&#44; its cavitation and reactivation of the infectious process are rarely documented in imaging studies&#46;</p></span>"
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                        "tituloSerie" => "Radiology"
                        "fecha" => "1999"
                        "volumen" => "210"
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                        "paginaFinal" => "322"
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                    0 => array:2 [
                      "titulo" => "Giant pulmonary tuberculoma&#58; atypical form of presentation of primary tuberculosis in childhood"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Delgado-Pecell&#237;n"
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                            2 => "I&#46; Obando-Santaella"
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                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2010.08.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2011"
                        "volumen" => "47"
                        "paginaInicial" => "55"
                        "paginaFinal" => "56"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21190764"
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