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            "nombre" => "I."
            "apellidos" => "Padilla"
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            "apellidos" => "Espinar"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudian 37 pacientes con tuberculosis bronquial&#44; nueve ni&#241;os y 28 adultos&#46; El diagn&#243;stico se hizo seg&#250;n criterios histol&#243;gicos y bacteriol&#243;gicos&#46; Las manifestaciones cl&#237;nicas no fueron espec&#237;ficas de afectaci&#243;n endobronquial&#46; Las alteraciones radiol&#243;gicas secundarias a obstrucci&#243;n bronquial&#44; atelectasia o enfisema obstructivo&#44; predominaron en los ni&#241;os &#40;p &#60; 0&#44;05&#41;&#46; La lesi&#243;n endosc&#243;pica m&#225;s frecuente en los ni&#241;os fue el granuloma bronquial y la forma m&#225;s difusa de bronquitis lo fue en los adultos &#40;p &#60; 0&#44;05&#41;&#46; En seis ocasiones la orientaci&#243;n diagn&#243;stica seg&#250;n la visi&#243;n endosc&#243;pica fue de neoplasia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los resultados de este trabajo sugieren que la tuberculosis bronquial no es un hecho excepcional y que hay un incremento relativo de la tuberculosis primaria en el adulto&#46; La broncofibroscopia es imprescindible para el diagn&#243;stico&#44; el cu&#225;l debe basarse en el estudio histol&#243;gico y&#47;o bacteriol&#243;gico de las muestras endobronquiales&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Thirty-seven patients with bronchial tuberculosis&#44; nine children and 28 adults&#44; were evaluated&#46; The diagnosis was based on histologic and bacteriologic criteria&#46; The clinical features were not specific of endobronchial involvement&#46; Radiologic abnormalities secondary to bronchial obstruction&#44; atelectasis or obstructive emphysema predominated in children &#40;p &#60; 0&#44;05&#41;&#46; The most common endoscopic lesion in children was bronchial granuloma&#44; while in adults it was the more diffuse form of bronchitis &#40;p &#60; 0&#44;05&#41;&#46; In six instances the diagnostic impression based on endoscopic findings was neoplastic disease&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results of the present study suggest that bronchial tuberculosis is not an exceptional occurence and that there is a relative increment in primary tuberculosis in adults&#46; Fibrobronchoscopy is mandatory for the diagnosis&#59; this should be based on the histologic and&#47;or bacteriologic investigation of endobronchial samples&#46;</p></span>"
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Journal Information
Vol. 25. Issue 3.
Pages 97-100 (April 1989)
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Vol. 25. Issue 3.
Pages 97-100 (April 1989)
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Tuberculosis bronquial: Estudio de 37 casos
Bronchial tuberculosis. A study of 37 cases
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I. Padilla, M.C. Puzo, J. Castella, A. Espinar, S. Hernández, R. Cornudella
Servei de Aparell Respiratori. Hospital de la Santa Creu i Sant Pau. Barcelona
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Se estudian 37 pacientes con tuberculosis bronquial, nueve niños y 28 adultos. El diagnóstico se hizo según criterios histológicos y bacteriológicos. Las manifestaciones clínicas no fueron específicas de afectación endobronquial. Las alteraciones radiológicas secundarias a obstrucción bronquial, atelectasia o enfisema obstructivo, predominaron en los niños (p < 0,05). La lesión endoscópica más frecuente en los niños fue el granuloma bronquial y la forma más difusa de bronquitis lo fue en los adultos (p < 0,05). En seis ocasiones la orientación diagnóstica según la visión endoscópica fue de neoplasia.

Los resultados de este trabajo sugieren que la tuberculosis bronquial no es un hecho excepcional y que hay un incremento relativo de la tuberculosis primaria en el adulto. La broncofibroscopia es imprescindible para el diagnóstico, el cuál debe basarse en el estudio histológico y/o bacteriológico de las muestras endobronquiales.

Thirty-seven patients with bronchial tuberculosis, nine children and 28 adults, were evaluated. The diagnosis was based on histologic and bacteriologic criteria. The clinical features were not specific of endobronchial involvement. Radiologic abnormalities secondary to bronchial obstruction, atelectasis or obstructive emphysema predominated in children (p < 0,05). The most common endoscopic lesion in children was bronchial granuloma, while in adults it was the more diffuse form of bronchitis (p < 0,05). In six instances the diagnostic impression based on endoscopic findings was neoplastic disease.

The results of the present study suggest that bronchial tuberculosis is not an exceptional occurence and that there is a relative increment in primary tuberculosis in adults. Fibrobronchoscopy is mandatory for the diagnosis; this should be based on the histologic and/or bacteriologic investigation of endobronchial samples.

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Copyright © 1989. Sociedad Española de Neumología y Cirugía Torácica
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