Información adicional
- Num_publicacion 77(3-4)
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Resumen_ingles
Introduction: Mycobacterial infections were already described in antiquity. In our country there is an increase in the identification of certain species of nontuberculous mycobacteria, such as Mycobacterium lentiflavum. In the pediatric population it is common to find lymphadenopathies caused by these microorganisms, which usually cause injuries to the head and neck.Case report: We present the case of an infant with a right submaxillary lesion. After performing analytical, radiological and anatomopathological tests, it was reached the diagnosis of overinfected right submaxillary sialoadenitis. It was established systemic antibiotic treatment and local treatment of the lesion on the lateral side of the neck, which showed fibrin and abundant and purulent exudate, with different products of moist healing environment according to the required needs.Conclusion: The lesion epithelialized after 80 days of follow-up in the wound advisory unit. The use of products that promote a moist environment has been shown as an adequate strategy to achieve the healing of the lesions.
- Palabras_clave_ingles Nontuberculous mycobacterium Nursing care Wounds and injuries Tuberculosis Lymph node
- Todos_autores J.M. Rosendo Fernández, J.A. Esperón Güimil, M.T. Loureiro Rodríguez, V.M. Antón Fuentes, J.A. Couceiro Gianzo, A. García Fernández
- autores listados J.M. Rosendo Fernández, J.A. Esperón Güimil, M.T. Loureiro Rodríguez, V.M. Antón Fuentes, J.A. Couceiro Gianzo, A. García Fernández
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Correspondecia
J.M. Rosendo Fernández. Xerencia de Xestión Integrada de Pontevedra e O Salnés. Loureiro Crespo, 10, 3.º D. 36001. Pontevedra.
Correo electrónico: jose.manuel.rosendo.fernandez@sergas.es - Titulo_ingles Healing of submaxillary adenopathic wound due to nontuberculous mycobacterium
- Centros_trabajo Xerencia de Xestión Integrada de Pontevedra e O Salnés (XXIPS). Pontevedra
- Publicado en Acta Pediatr Esp. 2019; 77(3-4): e63-e67
- copyright ©2019 Ediciones Mayo, S.A.
- Fecha recepcion 21/11/17
- Fecha aceptacion 12/04/18
- Tipo de Artículo Clínico (Microdatos) Case Reports
Publicado en
Notas clínicas
Información adicional
- Num_publicacion 76(11-12)
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Resumen_ingles
Introduction: The presence of intrathoracic lymph nodes is the characteristic pattern of pediatric tuberculosis but can be interpreted as infection or tuberculosis disease with different therapeutic approaches. The aim of this study was to determine if patients with isolated intrathoracic lymph nodes had clinical, diagnostic and microbiological features compared with patients diagnosed with other forms of tuberculosis disease.Material and methods: All patients younger than 14 years of age diagnosed with tuberculosis in Cantabria between 2005 and 2014 were included in the study. They were classified into two groups: patients with exclusively intrathoracic adenopathies and those with other forms of tuberculosis. Clinical symptoms, erythrocyte sedimentation rate, tuberculin skin test (TST) results and microbiological isolation between the two groups were compared.Results: A total of 81 patients were diagnosed with tuberculosis, 38.3% had nodal tuberculosis and the rest other forms of tuberculosis. The mean age at diagnosis was 70.46 ± 43.6 months. Patients with nodal tuberculosis were more frequently asymptomatic and had significantly higher TST induration diameters. Microbiological isolation was achieved in 25.9% of the patients and no significant differences in microbiological isolation between the two groups were observed (35.5 vs. 16.13%; p= 0.074). No Mycobacterium tuberculosis was isolated in any patient with lymphadenopathies detected by computed tomography.Discussion: The microbiological isolation is the gold standard of tuberculosis disease. Isolation of M. tuberculosis was not significantly superior in the group of patients with exclusive lymph node tuberculosis suggesting that lymph node tuberculosis should be considered a true tuberculosis disease.
- Palabras_clave_ingles Nodal tuberculosis Culture Lymphadenopathy Computed tomography Mediastinal ultrasound
- Todos_autores C. Álvarez Álvarez, M.J. Cabero Pérez, M. Otero Fernández, L. Guerra Díez, D. San Segundo Arribas
- autores listados C. Álvarez Álvarez, M.J. Cabero Pérez, M. Otero Fernández, L. Guerra Díez, D. San Segundo Arribas
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Correspondecia
C. Álvarez Álvarez. Hospital Universitario Marqués de Valdecilla. Avda. Valdecilla, 25. 39008 Santander.
Correo electrónico: crisalvarezbis@yahoo.es - Titulo_ingles Is lymph node tuberculosis a true tuberculosis disease?
- Centros_trabajo Departamento de Pediatría. Departamento de Radiología Pediátrica. Departamento de Inmunología. Hospital Universitario Marqués de Valdecilla. Santander
- Publicado en Acta Pediatr Esp. 2018; 76(11-12): 142-144
- copyright ©2018 Ediciones Mayo, S.A.
- Fecha recepcion 26/08/17
- Fecha aceptacion 19/10/17
- Tipo de Artículo Clínico (Microdatos) Observational Study
Publicado en
Originales
