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NCT Neumología y Cirugía de Tórax
Article . 2017 . Peer-reviewed
Data sources: Crossref
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Diagnóstico de tuberculosis extrapulmonar por cultivo

Authors: Anastacio Palacios-Marmolejo; Gabriela de Luna-Ramírez; Mariana Ornelas-Perea; Daniel Alejandro Herrera-Leandro; Mónica Ortiz-Palos; Juan José Silva-Menchaca;

Diagnóstico de tuberculosis extrapulmonar por cultivo

Abstract

La tuberculosis es una enfermedad infectocontagiosa causada principalmente por Mycobacterium tuberculosis (M. tuberculosis), que se puede manifestar en pulmonar (TBP) en el 85% de los casos y el resto en forma extrapulmonar (TBEP). Actualmente es un problema de salud publica y el mejor diagnostico a nivel laboratorio es el cultivo (diagnostico estandar de referencia). Material y metodos: Se realizo un estudio observacional y retrospectivo basado en el aislamiento de M. tuberculosis en muestras extrapulmonares por cultivo, utilizando el equipo BACTEC MGIT-960 y pruebas de identificacion y farmacosensibilidad. Resultados: Se cultivaron 654 muestras obteniendo una positividad del 5.5% (36 aislamientos), 7 de pacientes menores de 15, y 3 en pacientes mayores de 60 anos. De acuerdo al organo/tejido afectado: 30.6% piel, 27.8% renal, 11.1% cavidad toracica (excepto pulmon), aparato digestivo y articulaciones, respectivamente, y 8.3% del sistema nervioso central. Del total de los aislamientos del complejo M. tuberculosis se incluyo una cepa de M. bovis. En cuanto a los resultados de farmacosensibilidad se obtuvo una sensibilidad del 100% para etambutol y rifampicina, del 94.5% para isoniacida y 44.0% para pirazinamida. Conclusiones: Se demostro la importancia del cultivo para el diagnostico y pruebas de farmacosensibilidad en pacientes con sospecha de TBEP

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
gold