RESUMEN
INTRODUCTION: Misdiagnosed and complicated diaphragmatic hernia can lead to diagnostical and therapeutical difficulties. CASE REPORT: A strangulated post-traumatic diaphragmatic hernia in a 53 years old woman was at the origin of whole hemithoracic hydroaeric opacity. The hernia diagnosis based on digestive opacification and thoraco-phreno-abdominal ultrasonography. Emergent intervention is critical and allowed aetiologic and lesional assessment. CONCLUSIONS: After thoracic traumatism, it's necessary to carry on observation and realize, in front of any suspicion, radiological investigations especially modern imaging.
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Hernia Diafragmática/diagnóstico , Traumatismos Torácicos/complicaciones , Tórax/patología , Diagnóstico Diferencial , Hernia Diafragmática/diagnóstico por imagen , Hernia Diafragmática/etiología , Humanos , Masculino , Persona de Mediana Edad , UltrasonografíaRESUMEN
BACKGROUND: Because of the immunity depression, patients with chronic renal failure undergoing haemodialysis are at increased risk for developing infections, Mycobacterium tuberculosis (MTb) in particular. OBJECTIVE: To evaluate, in a prospective longitudinal study over 36 months period, the frequency of Tb among these patients and underline the diagnostic difficulties. PATIENTS AND METHODS: Sixty dialysis patients were interested. The Tb assessment comprised: a questionnaire, a meticulous clinical examination, a chest X-ray, a tuberculin skin testing, as well as MT bacilli screening in biological fluids. RESULTS: Tb was seen in six among dialysis patients(10%), this rate represents 15 times the general population tuberculosis incidence in our country (23/100,000). Tb has occurred early compared to the beginning of the haemodialysis. The Tb localizations were: 4 cases of extra-pulmonary tuberculosis (3 peritoneal and one ganglionic) and only 2 cases of pleuro-pulmonary localization. The positive diagnosis represents a real problem: no bacteriological confirmation in all patients and only in one, the histological diagnosis was obtained. CONCLUSION: There was a high rate of tuberculosis in our study. The prognosis appears to be closely related to therapeutic precocity, thus specific chemotherapy started sometimes without diagnostic confirmation.
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Diálisis Renal/efectos adversos , Tuberculosis/epidemiología , Humanos , Incidencia , Pronóstico , Diálisis Renal/estadística & datos numéricos , Tuberculosis/etiología , Túnez/epidemiologíaAsunto(s)
Rinitis Alérgica Perenne , Rinitis Alérgica Estacional , Diagnóstico Diferencial , Humanos , Rinitis Alérgica Perenne/diagnóstico , Rinitis Alérgica Perenne/inmunología , Rinitis Alérgica Perenne/terapia , Rinitis Alérgica Estacional/diagnóstico , Rinitis Alérgica Estacional/inmunología , Rinitis Alérgica Estacional/terapiaRESUMEN
The authors report, in a retrospective study 11 cases of thoracic extra-pulmonary hydatic cyst observed during 4 years of pneumopathology practice. They stress the rarity of this localization and the variability of the clinical data. Chest X-Ray was found no specific whereas, computed tomography led often to the right diagnosis and helped in some cases a puncture of the hydatic cyst.
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Equinococosis/epidemiología , Enfermedades Torácicas/epidemiología , Adolescente , Adulto , Broncoscopía , Niño , Preescolar , Equinococosis/diagnóstico por imagen , Femenino , Hospitales Militares , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Enfermedades Torácicas/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Túnez/epidemiología , UltrasonografíaRESUMEN
In a non orientated study of 12,357 radio-detecting of the new recruits the authors noticed that tuberculosis is still occupying a privileged place despite the effort made for prevention, and a retreat of post-infectious bronchiectasis of childhood. The authors underline the necessity to continue systematic detecting despite the low percentage of restrained anomalies, this is for two reasons: *on the one hand to avoid the little tuberculosis epidemic of the barracks *on the other hand for an early treatment of the other affections especially heart affections.
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Radiografías Pulmonares Masivas , Personal Militar , Tuberculosis Pulmonar/epidemiología , Adulto , Cardiopatías/diagnóstico por imagen , Humanos , Enfermedades Pulmonares/diagnóstico por imagen , Masculino , Tuberculosis Pulmonar/diagnóstico por imagen , Tuberculosis Pulmonar/prevención & control , Túnez/epidemiologíaRESUMEN
From a personal observation of a case of the chronic type-B form Niemann-Pick's disease in a 23 year old adult, the authors decided to review all the Tunisian published cases. They bring to light, in a review of the literature, the pulmonary disorder that occurs during this disease and discuss the contribution of computed tomography and the value of broncho-alveolar lavage as a method of diagnosis and prognosis in this disorder.