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Vol. 16. Issue 3.
Pages 106-110 (July - September 1980)
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Vol. 16. Issue 3.
Pages 106-110 (July - September 1980)
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Pleuritis tuberculosa. Diagnostico histologico y bacteriologico en 310 pacientes
Tuberculous pleurisy. Histological and bacteriological diagnoses in 310 patients
Visits
...
C. Plans Bolíbar, A. Aranda Torres, A. Roca Montanari, R. Vidal Pla, S. Sendra Salillas, M. Vilaplana Soler, F. Morell Brotad, J. Morera Prat
Sección de Neumología. Departamento de Medicina Interna (J. Tornos Solano) Ciudad Sanitaria Francisco Franco. Barcelona
Article information
Resumen

La pleuritis tuberculosa es en nuestro medio una de las causas más frecuentes de derrame pleural. De 680 pacientes en que se les había practicado biopsia pleural en un Departamento de Medicina I, 310 se hallaban afectos de tuberculosis. El diagnóstico histológico se estableció en 236 casos. En 157 pacientes el cultivo de biopsia o/y líquido o/y esputo, fue positivo para Mycobacteria T. En 39 pacientes el diagnóstico fue exclusivamente clínico y evolutivo.

Se comparan los resultados obtenidos, con los de otras series de la literatura, y se insiste, al igual que otros autores, en el estudio bacteriológico de la biopsia pleural que permite elevar el rendimiento de esta exploración.

Se concluye, en la necesidad de combinar diversos estudios bacteriológicos y histológicos, para llegar a un diagnóstico de certeza en la pleuritis tuberculosa.

Summary

In the authors' environment, tuberculous pleurisy is one of the most frequent causes of pleural effusion. Out of 680 patients for whom pleural biopsies were made in a Department of Internal Medicine, 310 were found to have tuberculosis. The histological diagnosis was established in 236 cases. In 157 patients the culture of the biopsy and/or liquid and/or sputum, was positive for Mycobacteria T. The diagnosis was exclusively clinical and evolutive for 39 patients.

The authors compare the results obtained with those of other series described in medical bibliography, and insist, just like other authors, in the bacteriological study of the pleural biopsy which permits a higher yield from this exploration.

Finally, the authors insist on the necessity of combining various bacteriological and histological studies in order to form a certain diagnosis of tuberculous pleurisy.

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Copyright © 1980. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología

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