Adrelirio José Rios GonçalvesI; Lucia Emi SuzukiII; Adilson Sarmet MoreiraII; Sonia Regina Carvalho FarayII; Sonia Mana TavaresII; Francisco Duarte G. NetoIII; Robson José da Silva SouzaIV; Albanita Prado VianaIV; Tercia Teles de CastroIV
IMédico cio Serviço de Clínica Medica do H S.E. Do Hospital Isolamento Francisco de Castro IIResidente do Serviço de Clinica Médica IIIChefe de Clinica do Serviço de Anatomia Patologiea IVResidentes do Serviço de Anatomia Patológica
RESUMO
Os autores apresentem uma revisão de 45 casos de tuberculose viiliar em adultos, sendo que 42 foram selecionados de urn total de 4.000 necropsias.
Uma correlação clínico-patológica é feita senão nitidamente evidenciado c baixo grau de suspeita clinica da doenca e a relativa freqüência desta infecção em Hospitais Gerais conseqüente à mimetização com outras patologias.
Uma classificação histovatológica da condição é feita, assim como os principais órgãos atingidos são assinalados.
Discussão a respeito dos mecanismos patogênicos é tentada.
Finalizam com uma revisão a respeito dos problemas gerais envolvidos na tuberculose miliar.
ABSTRACT
The aa. studied 45 cases of miliary tuberculosis in adults; 42 were selected from a total of 4.900 necropsies.
A clinical-pathological correlation was made showing its relative frequency in a General Hospital as well as a low incidence of clinical suspicion of this disease due to its mimmetitation with other pathological conditions.
A histopathological classification was proposed by the aa. and the frequency of the organs involved was mentioned.
A ternptative explanation about the pathogenic mechanism of the disease was considered. A review of the general problems involved with miliary tuberculosis is also considered.
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Recebido para publicação em 28.9.11.
