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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tras ser sometidos a biopsia pleural ciega o toracosc&#243;pica&#44; 88 pacientes fueron diagnosticados de pleuritis tuberculosa por procedimientos histol&#243;gicos y&#47;o bacteriol&#243;gicos&#46; El l&#237;quido pleural mostr&#243; m&#225;s de un 5&#37; de c&#233;lulas mesoteliales en un 15&#37; de las ocasiones&#44; y en tres pacientes se objetivaron c&#233;lulas epitelioides en el estudio citol&#243;gico&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se encontraron granulomas en el 78&#44;5&#37; de las muestras pleurales&#46; La tinci&#243;n de Ziehl-Neelsen sobre los cortes histopatol&#243;gicos fue positiva en el 22&#44;6&#37;&#44; destacando que en dos ocasiones se practic&#243; en ausencia de granulomas&#44; siendo a pesar de ello positiva para bacilos de Koch&#46; La baciloscopia directa de las biopsias&#44; realizada tras homogeneizar el tejido&#44; fue positiva sin embargo en una sola ocasi&#243;n &#40;1&#44;3&#37;&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El cultivo de la biopsia en medio de L&#246;wenstein fue positivo en el 54&#44;8&#37;&#44; logrando &#233;ste&#44; por s&#237; solo&#44; el diagn&#243;stico en 8 pacientes &#40;8&#44;5&#37;&#41;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La biopsia toracosc&#243;pica aport&#243; poca rentabilidad adicional tras el fallo de la biopsia con aguja de Abrams&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los autores consideran que para el diagn&#243;stico de pleuritis tuberculosa es conveniente realizar sobre la muestra de biopsia pleural estudio histopatol&#243;gico&#44; tinci&#243;n de Ziehl-Neelsen sobre los cortes de tejido y cultivo en medio de L&#246;wenstein con atm&#243;sfera normal y enriquecida con CO<span class="elsevierStyleInf">2</span>&#46;</p></span>"
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        "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&#46; The pleural fluid contained more than 5&#37; mesothelial cells in more than 15&#37; of all cases and cytological study disclosed epithelal cells in three patients&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Granulomas were found in 78&#46;5&#37; of pleural samples&#46; Ziehl-Neelsen stain of histiopathological sections was positive in 22&#46;6&#37; with the sections being free of granuloma but containing Kock bacilli on two occasions&#46; Only in one case was direct baciloscopy of the homogenized biopsy tissue positive &#40;1&#46;3&#37;&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Culture of the biopsy in L&#246;wenstein&#39;s medium was positive in 54&#46;8&#37; and this method alone established the diagnosis in 8 patients &#40;8&#46;5&#37;&#41;&#46;</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&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The authors consider histopathological study&#44; ZiehlNeelsen staining of biopsy sections and culture in L&#246;wenstein medium with normal and enriched air the techniques of choice for the diagnosis of pleural tuberculosis&#46;</p></span>"
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Vol. 22. Issue 4.
Pages 160-165 (July - August 1986)
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Vol. 22. Issue 4.
Pages 160-165 (July - August 1986)
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Pleuritis tuberculosa: critica de las tecnicas de estudio de la biopsia pleural
Pleural tuberculosis: comments of the study of pleural biopsies
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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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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.

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%).

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%).

La biopsia toracoscópica aportó poca rentabilidad adicional tras el fallo de la biopsia con aguja de Abrams.

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 CO2.

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.

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%).

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%).

Thorascopic biopsy did not prove an efficacious complementary diagnostic aid in cases where biopsy with the Abrams needle had not been successful.

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.

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Copyright © 1986. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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