Journal Information
Vol. 16. Issue 1.
Pages 171-176 (January - February 2010)
Share
Share
Download PDF
More article options
Vol. 16. Issue 1.
Pages 171-176 (January - February 2010)
Caso Clínico/Case Report
Open Access
Tuberculose musculoesquelética – A propósito de um caso clínico
Musculoskeletal tuberculosis – a clinical case report
Visits
5236
Teresa Mourato1, João Costeira2,
Corresponding author
joaocosteira@sapo.pt

Serviço de Pneumologia III, Director: Jaime Pina, Hospital de Pulido Valente, Centro Hospitalar Lisboa Norte, EPE Alameda das Linhas de Torres, 117 1769-001 Lisboa
, Jaime Pina3
1 Interna do Internato Complementar de Pneumologia/Resident, Pulmonology
2 Assistente Hospitalar Graduado de Pneumologia/Consultant, Pulmonology specialist
3 Chefe de Serviço Hospitalar de Pneumologia e Director do Serviço de Pneumologia III/Head, Pulmonology Unit, director Pulmonology III Service Hospital de Pulido Valente, Lisboa
This item has received

Under a Creative Commons license
Article information
Resumo

A tuberculose da parede torácica constitui 1 % a 5 % de todos os casos de tuberculose musculoesquelética. Os abcessos da parede torácica constituem localizações raras da tuberculose. Porém, com o recrudescimento da tuberculose associada à síndroma de imunodeficiência adquirida (SIDA), aquele diagnóstico deve ser considerado mais frequentemente1.

Os autores apresentam um caso de tuberculose óssea com abcesso da costela em doente infectado pelo VIH. A combinação da apresentação insidiosa de sintomas e de imagens radiológicas compatíveis sugerem fortemente o diagnóstico. No entanto, a confirmação cultural ou histopatológica são essenciais para o diagnóstico definitivo.

Rev Port Pneumol 2010; XVI (1): 171-176

Palavras-chave:
Tuberculose musculoesquelética
abcesso
costela
Abstract

Tuberculosis of the chest wall constitutes 1% to 5% of all cases of musculoskeletal TB.

Abscesses of the chest wall are rare tuberculous locations. Because of the resurgence of the tuberculosis associated to AIDS, that diagnosis must be considered more frequently1.

The authors present a case of osseous tuberculosis with an abscess rib in a patient with HIV. The combination of indolent onset of symptoms and compatible radiographic findings, strongly suggests the diagnosis. However, the confirmation with positive culture or histopathologic are essential for definitive diagnosis.

Rev Port Pneumol 2010; XVI (1): 171-176

Key-words:
Musculoskeletal tuberculosis
abscess
rib
Full text is only aviable in PDF
Bibliografia
[1.]
T.S. Papavramidis, V.N. Papadopoulos, A.D. Paramythiotis, S. Potsi, G. Raptou, A. Harlaftis, N. Harlaftis.
Anterior chest wall tuberculous abscess: a case report.
J Med Case Reports, 1 (2007), pp. 152
[2.]
A. Kaya, Z. Topu, S. Fitoz, N. Numanoglu.
Pulmonary tuberculosis with multifocal skeletal involvement.
Monaldi Arch Chest Dis, 2 (2004), pp. 133-135
[3.]
H.G. Watts, R.M. Lifeso.
Current concepts review – tuberculosis of bones and joints.
The Journal of Bone and Joint Surgery, 78 (1996), pp. 288-299
[4.]
T.M. Daniel, S.M. DeBanne.
The serodiagnosis of tuberculosis a mycobacterial diseases by enzyme-linked immunosorbent assay.
Am Rev Res, 135 (1987), pp. 1137-1151
[5.]
A. Adil, W. Zemia, N. Elbenna, R. Kadini.
Rib tuberculosis: value of imaging. Report of 4 cases.
Rev Pneumol Clin, 58 (2002), pp. 219-224
[6.]
A. Kuzucu, O. Sysal, H. Gunen.
The role of surgery in chest wall tuberculosis.
Interactive Cardiovascular and Thoracic Surgery, 3 (2004), pp. 99-103
[7.]
A. Khail, C. Lebreton, M. Tassart, J. Konzec, J. Bigot, M. Carette.
Utility of CT scan for the diagnosis of chest wall tuberculosis.
Eur Radiol, 9 (1999), pp. 1638-1642
[8.]
A.S. Ward.
Superficial abscess formation: an unusual presenting feature of tuberculosis.
Br J Surg, 58 (1971), pp. 540-542
[9.]
C.H. Chen, J.F. Shih, L.S. Wang, R.P. Perng.
Tuberculous subcutaneous abscess: analysis of seven cases.
Tuber Lung Dis, 77 (1996), pp. 184-187
[10.]
A. Enoglu, C. Kurkquoglu, N. Karaoglanoglu, H. Kaynar.
Breast mass caused by rib tuberculosis abscess.
Eur J Cardiothorac Surg, 22 (2002), pp. 324-326
[11.]
E. Faure, R. Souilamas, M. Riquet, A. Chehab, F. Le Pimpec-Barthes, D. Manac’h, B. Debesse.
Cold abscess of the chest wall: A surgical entity?.
Ann Thorac Surg, 66 (1998), pp. 1174-1178
[12.]
E.R. Wiebe, R.K. Elwood.
Tuberculosis of the ribs – A report of three cases.
Respir Med, 85 (1991), pp. 251-253
[13.]
H.S. Hsu, L.S. Wang, Y.C. Wu, H.J. Fahn, M.H. Huang.
Management of primary chest wall tuberculosis.
Scand J Thorac Cardiovasc Surg, 29 (1995), pp. 119-123
[14.]
M. Tatelman, E.J.P. Drouillard.
Tuberculosis of the ribs.
Am J Roentgenol, 70 (1953), pp. 923-935
[15.]
H.C. Paik, K.Y. Chung, J.H. Kang, D.H. Maeng.
Surgical treatment of tuberculous cold abscess of the chest wall.
Yonsei Med J, 43 (2002), pp. 309-314
[16.]
Y.T. Kim, K.N. Han, C.H. Kang, S.W. Sung, J.H. Kim.
Complete resection is mandatory for tuberculous cold abscess of the chest wall.
Ann Thoracic Surg, 85 (2008), pp. 273-277
[17.]
WHO Stop TB Department.
Strategy and framework for effective tuberculosis control. Treatment of tuberculosis: Guidelines for national programs.
Strategy and framework for effective tuberculosis control. Treatment of tuberculosis: Guidelines for national programs, World Health Organization, (2003),
[18.]
P.P. Gupta, K.B. Gupta, R. Gupta, D. Agarwal.
Progressive rib destruction: an unusual feature in a patient who had irregular anti-tuberculosis treatment.
Ind J Tub, 50 (2003), pp. 109
[19.]
Cho Kd, D.G. Cho, M.S. Jo, M.I. Ahn, C.B. Park.
Current surgical therapy for patients with tuberculous abscess of the chest wall.
Ann Thorac Surg, 81 (2006), pp. 1220-1226
Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?