RESUMO

Mammomonogamus laryngeus (sin.: Syngamus laryngeus) is a nematode which parasites the respiratory tract of some animals. It is occasionally seen in humans, who present symptoms similar to other diseases with respiratory manifestations, such as a chronic dry cough and chest pain, in addition to a "foreign body" sensation in the throat. It can be diagnosed through rhinolaryngoscopy or bronchoscopy examinations, but this often occurs only after spontaneous expectoration of the worms, a long period of symptomatology and the use of several types of medication. In this report, we describe a case of syngamosis in Florianópolis (Santa Catarina, Brazil). The patient consulted several health professionals during the course of the disease and was prescribed numerous drugs. Diagnosis was eventually reached after the spontaneous expectoration of a nematode couple

Assuntos

RESUMO

The authors report the case of a 55-year-old female, hypertensive, smoker patient presenting with dysphonia, dysphagia and persistent dry cough. Laryngoscopy diagnosed left vocal cord paralysis. Computed tomography demonstrated saccular aneurysm of the inferior wall of the aortic arch, stretching the left recurrent laryngeal nerve, a finding compatible with Ortner's syndrome.

Relatamos um caso de paciente do sexo feminino, 55 anos, hipertensa, tabagista, apresentando disfonia, disfagia e tosse seca persistente. À videolaringoscopia foi observada paralisia da prega vocal esquerda. A tomografia computadorizada mostrou aneurisma sacular da parede inferior do arco aórtico, no local de deflexão do nervo laríngeo recorrente, permitindo diagnosticar a síndrome de Ortner.

RESUMO

AbstractThe authors report the case of a 55-year-old female, hypertensive, smoker patient presenting with dysphonia, dysphagia and persistent dry cough. Laryngoscopy diagnosed left vocal cord paralysis. Computed tomography demonstrated saccular aneurysm of the inferior wall of the aortic arch, stretching the left recurrent laryngeal nerve, a finding compatible with Ortner’s syndrome.

ResumoRelatamos um caso de paciente do sexo feminino, 55 anos, hipertensa, tabagista, apresentando disfonia, disfagia e tosse seca persistente. À videolaringoscopia foi observada paralisia da prega vocal esquerda. A tomografia computadorizada mostrou aneurisma sacular da parede inferior do arco aórtico, no local de deflexão do nervo laríngeo recorrente, permitindo diagnosticar a síndrome de Ortner.

RESUMO

Fundamento: A pesar de los múltiples mecanismos implicados en la tos seca nocturna y a la amplia gama de factores etiológicos asociados, esta continúa siendo en el paciente atópico en edad pediátrica un equivalente del síndrome respiratorio alérgico en su forma bronquial. Objetivo: Determinar la relación entre tos seca nocturna y atopia en niños entre 3 y 14 años en Camagüey. Método: Se realizó un estudio caso control 1:1 con el objetivo de en el período de enero de 2006 a julio de 2008, en muestra de cien enfermos y cien sanos, que se les realizó valoración clínica e inmunológica (PT e IgE total). Para el procesamiento de los datos se aplicaron cálculos de medidas de probabilidad con sus intervalos de confianza. Resultados: Las edades más frecuentes se encuentran en el grupo de 3 a 6 años, con 36 casos en el masculino y 30 en el femenino. Los antecedentes familiares de atopia se observan en el 64 por ciento de los pacientes (OR= 16,00 IC 95 por ciento 7,01, 37,44 p<0.05).

Background: In spite of multiple mechanisms implied in the night dry cough and to the wide range of associated etiologic factors, it continues being in the atopic patient in pediatric age an equivalent of the allergic respiratory syndrome in their bronchial form. Objective: To determine the relationship between night dry cough and atopy in children between 3 and 14 years in Camagüey. Method: A 1:1 case control study was carried out, also clinical and immunologic valuation was performed (PT and total IgE). For data processing the probability measures calculations were applied with its reliance intervals. Results: The most frequent ages are in the group from 3 to 6 years, with 36 cases in the masculine sex and 30 in the feminine one. The family antecedents of atopy are observed in 64 prcent of the patients (OR= 16,00 IC 95 percent 7,01, 37,44 p<0.05).

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RESUMO

Relatamos o caso de um homem de 48 anos, que evoluiu durante 4 meses com quadro de tosse seca associada à dor torácica. Após serem descartadas as etiologias mais prováveis, realizou-se uma broncofibroscopia que revelou a presença de um casal de Syngamus laringeus no brônquio do lobo superior esquerdo. O paciente tornou-se assintomático após a retirada do nematóide.

We report the case of a 48-year-old man who presented progressive dry cough associated with chest pain over a four-month period. After ruling out the most probable etiologies, bronchofibroscopy was performed and showed a pair of Syngamus laringeus inside the left upper lobe bronchus. The patient became asymptomatic after the nematodes had been removed.

Assuntos