Mammary tuberculosis in AIDS patient: a case report

IntroductionThe incidence of breast tuberculosis in the world is very low.This pathology can be primary and, more commonly, secondary. It is presented as an extrapulmonary focus due to Mycobacterium tuberculosis invasion in the mammary gland. Method: we present the clinical case of a 29-year-old in...

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Detalles Bibliográficos
Autores principales: Chajud, Analía Silvana, Almará, Adriana, Prestifilippo, Ana María
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018
Materias:
tuberculosis
AIDS
breast
SIDA
mama
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20356
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-20356
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic tuberculosis
AIDS
breast
tuberculosis
SIDA
mama
spellingShingle tuberculosis
AIDS
breast
tuberculosis
SIDA
mama
Chajud, Analía Silvana
Almará, Adriana
Prestifilippo, Ana María
Mammary tuberculosis in AIDS patient: a case report
topic_facet tuberculosis
AIDS
breast
tuberculosis
SIDA
mama
author Chajud, Analía Silvana
Almará, Adriana
Prestifilippo, Ana María
author_facet Chajud, Analía Silvana
Almará, Adriana
Prestifilippo, Ana María
author_sort Chajud, Analía Silvana
title Mammary tuberculosis in AIDS patient: a case report
title_short Mammary tuberculosis in AIDS patient: a case report
title_full Mammary tuberculosis in AIDS patient: a case report
title_fullStr Mammary tuberculosis in AIDS patient: a case report
title_full_unstemmed Mammary tuberculosis in AIDS patient: a case report
title_sort mammary tuberculosis in aids patient: a case report
description IntroductionThe incidence of breast tuberculosis in the world is very low.This pathology can be primary and, more commonly, secondary. It is presented as an extrapulmonary focus due to Mycobacterium tuberculosis invasion in the mammary gland. Method: we present the clinical case of a 29-year-old in AIDS woman a breast tumor.At the time of the consultation, rales were also heard in both pulmonary fields.A chest x-ray, blood analysis, and computed tomography of breast tumor and armpit, were performed.One month after admission to the hospital, the tumor fistulized and drained purulent secretion spontaneously. A sample was taken and sent to anatomopathological and microbiological analysisA tuberculin skin test (PPD) was also performed. Results: the chest X-ray showed a diffuse interstitial infiltrate, suggestive of Pneumocystis Jirovecci pneumonia.Computed tomography of the breast and armpit tumors reported the presence of multiple adenopathies.The PPD value reported was 5 millimeters; this rate is considered as a positive reaction in HIV patients.The result of the pathological anatomy for neoplasic cells was negative.The microbiological results were: Mycobacterium tuberculosis, sensitive to Isoniacid, Streptomycin, Pyrazinamide, Ethambutol and Rifampicin. Main conclusion: Based on the results of the laboratory report, the diagnosis was pulmonary and mammary tuberculosis. The pulmonary tuberculosis in AIDS patients, can give non-characteristic radiographic images.  This case proved how the diagnosis could be confused with pneumonia by Peumocystis jirovecci in a first approuch.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2018
url https://revistas.unc.edu.ar/index.php/med/article/view/20356
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AT almaraadriana mammarytuberculosisinaidspatientacasereport
AT prestifilippoanamaria mammarytuberculosisinaidspatientacasereport
AT chajudanaliasilvana tuberculosismamariaenpacienteconsidaapropositodeuncaso
AT almaraadriana tuberculosismamariaenpacienteconsidaapropositodeuncaso
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last_indexed 2024-09-03T20:59:30Z
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spelling I10-R327-article-203562024-08-27T18:22:20Z Mammary tuberculosis in AIDS patient: a case report Tuberculosis mamaria en paciente con SIDA: a propósito de un caso Chajud, Analía Silvana Almará, Adriana Prestifilippo, Ana María tuberculosis AIDS breast tuberculosis SIDA mama IntroductionThe incidence of breast tuberculosis in the world is very low.This pathology can be primary and, more commonly, secondary. It is presented as an extrapulmonary focus due to Mycobacterium tuberculosis invasion in the mammary gland. Method: we present the clinical case of a 29-year-old in AIDS woman a breast tumor.At the time of the consultation, rales were also heard in both pulmonary fields.A chest x-ray, blood analysis, and computed tomography of breast tumor and armpit, were performed.One month after admission to the hospital, the tumor fistulized and drained purulent secretion spontaneously. A sample was taken and sent to anatomopathological and microbiological analysisA tuberculin skin test (PPD) was also performed. Results: the chest X-ray showed a diffuse interstitial infiltrate, suggestive of Pneumocystis Jirovecci pneumonia.Computed tomography of the breast and armpit tumors reported the presence of multiple adenopathies.The PPD value reported was 5 millimeters; this rate is considered as a positive reaction in HIV patients.The result of the pathological anatomy for neoplasic cells was negative.The microbiological results were: Mycobacterium tuberculosis, sensitive to Isoniacid, Streptomycin, Pyrazinamide, Ethambutol and Rifampicin. Main conclusion: Based on the results of the laboratory report, the diagnosis was pulmonary and mammary tuberculosis. The pulmonary tuberculosis in AIDS patients, can give non-characteristic radiographic images.  This case proved how the diagnosis could be confused with pneumonia by Peumocystis jirovecci in a first approuch. Introducción: la incidencia de tuberculosis mamaria en el mundo es muy baja.Esta patología puede ser primaria y más comúnmente secundaria. Se presenta como un foco extrapulmonar por invasión de Mycobacterium tuberculosis a la glándula mamaria. Método: presentamos  el caso clínico de una mujer de 29 años con SIDA con tumoración de mama.Al momento de la consulta, también se auscultaron rales en ambos campos pulmonares.Se realizó  radiografía de tórax,  análisis de sangre, y tomografía computada de dicha tumoración de mama y axila.Al mes  desde su ingreso al hospital, la tumoración fistulizó y drenó secreción purulenta de manera espontánea.  Se tomó muestra y se  envió para estudios anatomopatológico y microbiológico.También se realizó prueba de tuberculina (PPD). Resultados: la radiografía de tórax mostró un infiltrado intersticial difuso, sugestivo de neumonía por Pneumocystis Jirovecci. La tomografía computada de tumoración de mama y axila informó la presencia de múltiples adenopatías.El valor de PPD reportado fue de5 milímetros, valor considerado como reacción positiva en pacientes con VIH.El resultado de la anatomía patológica fue negativo para células neoplásicasLos resultados microbiológicos fueron: Mycobacterium tuberculosis, sensible a Isoniacida, Estreptomicina, Pirazinamida (PAS), Etambutol y Rifampicina. Conclusión principal: En base a los resultados del informe de laboratorio se realizó el diagnóstico de tuberculosis pulmonar, ganglionar y mamaria. La  tuberculosis pulmonar en pacientes con SIDA, puede dar imágenes radiográficas no características, como en este caso que fue confundido en un primer momento con neumonía por Peumocystis Jirovecci. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2018-12-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.spreadsheetml.sheet https://revistas.unc.edu.ar/index.php/med/article/view/20356 10.31053/1853.0605.v75.n4.20356 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 75 No. 4 (2018); 299-302 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 75 Núm. 4 (2018); 299-302 Revista da Faculdade de Ciências Médicas de Córdoba; v. 75 n. 4 (2018); 299-302 1853-0605 0014-6722 10.31053/1853.0605.v75.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/20356/22290 https://revistas.unc.edu.ar/index.php/med/article/view/20356/22540 https://revistas.unc.edu.ar/index.php/med/article/view/20356/26930 https://revistas.unc.edu.ar/index.php/med/article/view/20356/26931 Derechos de autor 2018 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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