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Exudative pulmonary tuberculosis

 


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Fig. 1


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Fig. 2


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Fig. 3


 

Paziente 2. Cd4 300/mmc. Insorgenza di febbre e tosse. Esami microbiologici negativi.
Fig. 1 - Rx. OpacitÓ disomogenea fusiforme, con margini sfumati, al terzo inferiore del campo polmonare sinistro; interstiziopatia diffusa a vetro smerigliato; minimo interessamento pleurico omolaterale.
Trattata con macrolidi e chinolonici con remissione clinica. Dopo 5 mesi ricomparsa di febbre elevata, tosse ed emoftoe. Espettorato positivo per BK.
Fig. 2 - Rx. OpacitÓ disomogenea, con contorni sfumati alla base sinistra; ili addensati ed ingranditi, interessamento interstizioalveolare diffuso, con aspetto reticolonodulare, specialmente in sede parailare, bilateralmente.
Trattata con terapia antitubercolare classica, con remissione clinica.
Dopo 3 anni, insorgenza di febbre, tosse ed emoftoe.
Fig. 3 - Rx. OpacitÓ parenchimali, con immagini escavative, al terzo medio del campo polmonare destro.
Terapia antitubercolare classica praticata con successo clinico.

Patient 2. Cd4 300/mmc. Onset of fever and cough. Microbiological examinations were negative.
Fig. 1 - X-ray film. Inhomogeneous fusiform opacity, with ill-defined margins, to the lower third of left pulmonary field; widespread interstitiopathy with ground glass pattern; mild homolateral pleural involvement.
Treated with macrolide and quinolonic with clinical remission. After 5 months onset of fever of high degree, cough and haemoptysis. Sputum positive for BK.
Fig. 2 - X-ray film. Ill-defined inhomogeneous opacity, to the left pulmonary base; enlarged hili, bilateral interstitio-alveolar involvement, with reticulonodular pattern, specially in peri-hilar seat.
Treated with antituberculous therapy, with clinical remission.
After 3 years, onset of fever, cough and haemoptysis.
Fig. 3 - X-ray film. Parenchymal opacities, with cavitary images, to the middle third of pulmonary right field.
Antituberculous therapy with clinical remission.

    

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