Raro caso de tuberculosis ganglionar y pulmonar en el mismo paciente

Abstract

The case report indicates a 56-year-old patient with a history of mining for 25 years, the patient presents an extremely rare pulmonary and lymph node tuberculosis in the medical field, since ganglionic TB occurs in only 5% of the population. worldwide, TB is a rapidly spreading, infectious and dangerous disease, caused by Mycobacterium Tuberculosis, in our country the infection rate is high due to unsanitary conditions, malnutrition and overcrowding, the main symptoms presented in the patient are weight loss of 8 kg in a period of 5 months, hemoptysis, nocturnal diaphoresis and lack of appetite, the main diagnoses to be ruled out by the group of pulmonology specialists who treated the patient were neoplastic lesions, constitutional syndrome and right pleural effusion, therapeutic interventions carried out were the study by fiber optic bronchoscopy, biopsies with different study techniques (CULTURE, ANTIBIOGRAM, AD A, LOWENSTEIN, GENEXPERT (PCR) ) and cytology until reaching the diagnosis. Nodal tuberculosis (also known as tuberculosis lymphadenitis) is a relatively rare form of tuberculosis disease, affecting only 5-10% of all cases. It is characterized by swollen lymph nodes. It may be more common in developing countries and in people with compromised immune systems, such as those with HIV/AIDS. Treatment includes a regimen of anti-TB drugs, usually including isoniazid, rifampicin, pyrazinamide, and ethambutol, for a period of 6-9 months. It is important that the treatment is followed rigorously and that the entire treatment is completed to avoid complications and reduce the transmission of the disease.