Exacerbacion paradojica de la tuberculosis pulmonar, tras el inicio del tratamiento especifico

Perez Duarte, E.; Dominguez-Palacios, J.M.a; Blasco Rubio, J.M.a; Fernandez Luceño, J.J.

doi:10.1016/S0300-2896(15)32201-8

Archivos de Bronconeumología

ISSN: 0300-2896

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Vol. 21. Issue 2.

Pages 86-89 (March - April 1985)

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Pages 86-89 (March - April 1985)

DOI: 10.1016/S0300-2896(15)32201-8

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Exacerbacion paradojica de la tuberculosis pulmonar, tras el inicio del tratamiento especifico

Paradoxical exacerbation of pulmonary tuberculosis after starting therapy

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E. Perez Duarte, J.M.a Dominguez-Palacios, J.M.a Blasco Rubio, J.J. Fernandez Luceño

Hospital de Enfermedades del Tórax El Tomillar. Dos Hermanas. Sevilla

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La aparición paradójica de nuevas lesiones radiológicas, tras el inicio del tratamiento en la tuberculosis pulmonar, puede plantear dudas sobre el diagnóstico y tratamiento.

Recientemente hemos tenido la oportunidad de comprobar en un caso de tuberculosis pulmonar primaria, que se trata de un fenómeno transitorio de posible base inmunoalérgica, que no implica lesión bronquial, infección sobreañadida o fallo terapéutico.

Sugerimos ante este tipo de fenómeno un seguimiento radiológico minucioso, el estudio endoscópico y la no modificación del tratamiento específico.

The appearance of new radiographic lesions after starting therapy for pulmonary tuberculosis may throw doubt on the diagnosis and management.

The authors report a recent case of primary pulmonary tuberculosis with such paradoxical lesions and which may possibly be due to a transient immune-allergic phenomenon without bronchial lesions, overlying infection or therapeutic failure.

In the presence of such a phenomenon careful radiographic control, endoscopic studies and continuing of the therapeutic schedule without changes are recommended.

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