Çomak parmakla başvuran adolesanda primer progresif tüberküloz
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Dosyalar
Tarih
2011
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Tüberküloz ülkemizde sık karşılaşılan hastalıklardan biridir, bu nedenle kronik solunum yolu yakınması olan çocuklarda kesinlikle araştırılmalıdır. Çomak parmak nedeniyle başvuran bir olgu eşliğinde klinik, radyolojik, bronkoskopik ve biyopsi bulguları ile primer tüberkülozun tartışılması amaçlanmıştır. On beş yaşında erkek adolesan; öksürük, yan ağrısı, kilo kaybı, iştahsızlık ve halsizlik yakınmaları ile başvurdu. Fizik muayene sırasında her iki el parmaklarında çomak parmak görüldü. Radyografisinde sol alt lobda konsolidasyon ve parakardiyak alanda lenfadenopati ile uyumlu dansiteler görüldü. Balgamda asidorezistan bakteri (ARB) arandı. Bronkoskopik inceleme yapıldı. Biyopsi ve bronkoalveoler lavaj sıvısında asidorezistan bakteri (ARB) tespit edildi Tanı, bakteri kültürü ile doğrulandı. Bu olgu adolesanlarda kilo kaybı, kronik öksürük, gece terlemesi, kanlı balgam yanı sıra çomak parmak görüldüğünde kronik akciğer hastalığının nedeni olarak tüberkülozun düşünülmesi gerektiğini vurgulamak için sunulmuştur.
Tuberculosis is one of the most frequently encountered diseases in our country, and it should be taken into account in children presented with complaints of chronic respiratory airway diseases. We aimed to discuss the clinical, radiological, bronchoscopical and biopsy findings of primary progressive tuberculosis in a case presented with clubbing. A 15-year-old male adolescent admitted to our clinic with complaints of coughing, chest pain, weight loss, anorexia and weakness. When patients were physically examined, clubbing was seen on both hand fingers. On chest radiogram, densities compatible with lympadenopathy in paracardiac area and left lower lobe consolidation were seen. Acid-fast bacteria (AFB) were searched in the sputum. Bronchoscopical examination was done. In biopsy specimens and bronchoalveolar lavage fluid samples, growth of acid-fast bacteria were identified. Diagnosis was confirmed by bacterial culture. This case was presented to emphasize that the diagnosis of tuberculosis should be suggested as an etiologic factor for chronic lung disease when adolescents presented with weight loss, chronic coughing, night sweats, bloody sputum in addition to clubbing.
Tuberculosis is one of the most frequently encountered diseases in our country, and it should be taken into account in children presented with complaints of chronic respiratory airway diseases. We aimed to discuss the clinical, radiological, bronchoscopical and biopsy findings of primary progressive tuberculosis in a case presented with clubbing. A 15-year-old male adolescent admitted to our clinic with complaints of coughing, chest pain, weight loss, anorexia and weakness. When patients were physically examined, clubbing was seen on both hand fingers. On chest radiogram, densities compatible with lympadenopathy in paracardiac area and left lower lobe consolidation were seen. Acid-fast bacteria (AFB) were searched in the sputum. Bronchoscopical examination was done. In biopsy specimens and bronchoalveolar lavage fluid samples, growth of acid-fast bacteria were identified. Diagnosis was confirmed by bacterial culture. This case was presented to emphasize that the diagnosis of tuberculosis should be suggested as an etiologic factor for chronic lung disease when adolescents presented with weight loss, chronic coughing, night sweats, bloody sputum in addition to clubbing.
Açıklama
Anahtar Kelimeler
Pediatri
Kaynak
İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
1
Sayı
3
