{"id":40218,"date":"2016-11-20T08:41:56","date_gmt":"2016-11-20T07:41:56","guid":{"rendered":"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/?p=40218"},"modified":"2016-11-20T08:41:56","modified_gmt":"2016-11-20T07:41:56","slug":"amputacion-epiglotis-tuberculosis-laringea","status":"publish","type":"post","link":"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/amputacion-epiglotis-tuberculosis-laringea\/","title":{"rendered":"Amputaci\u00f3n de la epiglotis por tuberculosis lar\u00edngea"},"content":{"rendered":"<h1 style=\"text-align: left;\"><strong>Amputaci\u00f3n de la epiglotis por tuberculosis lar\u00edngea<\/strong><\/h1>\n<p style=\"text-align: justify;\"><strong>RESUMEN<\/strong><\/p>\n<p style=\"text-align: justify;\">Paciente con odinofagia, sudoraci\u00f3n y atragantamientos con la ingesta de l\u00edquidos que tras consultar con el servicio de ORL se visualiza amputaci\u00f3n de gran parte de la epiglotis por padecer tuberculosis lar\u00edngea.<\/p>\n<p style=\"text-align: justify;\"><!--more--><\/p>\n<p style=\"text-align: justify;\"><strong>Amputaci\u00f3n de la epiglotis por tuberculosis lar\u00edngea<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Autores: <\/strong>Ruminot Lehmann C <sup>1<\/sup>, Montilla Ib\u00e1\u00f1ez MA <sup>2<\/sup>, J\u00f3dar Moreno R <sup>3<\/sup>.<\/p>\n<ul style=\"text-align: justify;\">\n<li>FEA ORL. Fundaci\u00f3n Jim\u00e9nez D\u00edaz. Madrid.<\/li>\n<li>FEA ORL. Hospital La Inmaculada. Hu\u00e9rcal-Overa. Almer\u00eda.<\/li>\n<li>FEA ORL. Complejo Hospitalario de Ja\u00e9n.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>PALABRAS CLAVE<\/strong><\/p>\n<p style=\"text-align: justify;\">Tuberculosis, epiglotis.<\/p>\n<p style=\"text-align: justify;\"><strong>IM\u00c1GENES CL\u00cdNICAS COMENTADAS<\/strong><\/p>\n<p style=\"text-align: justify;\">Presentamos un caso de un paciente de 37 a\u00f1os, de origen rumano, domiciliado en Espa\u00f1a desde hace 6 a\u00f1os, fumador, no bebedor. Consulta por cuadro de disfon\u00eda y p\u00e9rdida de peso de 6 meses de evoluci\u00f3n. Un mes antes de acudir a la consulta observa odinofagia, sudoraci\u00f3n y tos gatillada principalmente por la ingesta de l\u00edquidos.<\/p>\n<p style=\"text-align: justify;\">Se realiza videoendoscopia que muestra amputaci\u00f3n de epiglotis, con base ulcerada, recubierta por mucosidad espesa, aritenoides edematosos, bandas ulceradas, cuerdas hiper\u00e9micas y m\u00f3viles, sin disnea.<\/p>\n<p style=\"text-align: justify;\">Radiograf\u00eda de t\u00f3rax: Se observan lesiones sugestivas de cavernas.<\/p>\n<p style=\"text-align: justify;\">Baciloscopias y cultivo de Koch resultaron positivos.<\/p>\n<p style=\"text-align: justify;\">Se inicia tratamiento a cargo de servicio de infecciosos para tuberculosis, con respuesta satisfactoria, no continuando tratamiento ni volviendo a controles despu\u00e9s de mejor\u00eda sintom\u00e1tica.<\/p>\n<p style=\"text-align: justify;\">retrospective study of 24 cases. Eur. Arch. Otorhinolaryngol. 2008; 265 (6):675-80.<\/p>\n<p style=\"text-align: justify;\"><strong>Figura 1: <\/strong>Imagen de videoendoscopia en la que se visualiza la amputaci\u00f3n de gran parte de la epiglotis.<\/p>\n<figure id=\"attachment_40219\" aria-describedby=\"caption-attachment-40219\" style=\"width: 340px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/1-tuberculosis-laringea.jpg\"><img decoding=\"async\" class=\"size-full wp-image-40219\" src=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/1-tuberculosis-laringea.jpg\" alt=\"tuberculosis-laringea\" width=\"350\" height=\"343\" srcset=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/1-tuberculosis-laringea.jpg 350w, https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/1-tuberculosis-laringea-300x294.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/a><figcaption id=\"caption-attachment-40219\" class=\"wp-caption-text\">Tuberculosis lar\u00edngea<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong>Figura 2: <\/strong>Imagen de videoendoscopia en la que adem\u00e1s de verse la amputaci\u00f3n de parte de la epiglotis se aprecia un tejido con gran tendencia al sangrado y muy friable.<\/p>\n<figure id=\"attachment_40220\" aria-describedby=\"caption-attachment-40220\" style=\"width: 340px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/2-amputacion-epiglotis-tuberculosis-laringea.jpg\"><img decoding=\"async\" class=\"size-full wp-image-40220\" src=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/2-amputacion-epiglotis-tuberculosis-laringea.jpg\" alt=\"amputacion-epiglotis-tuberculosis-laringea\" width=\"350\" height=\"409\" srcset=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/2-amputacion-epiglotis-tuberculosis-laringea.jpg 350w, https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/2-amputacion-epiglotis-tuberculosis-laringea-257x300.jpg 257w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/a><figcaption id=\"caption-attachment-40220\" class=\"wp-caption-text\">Amputaci\u00f3n de epiglotis por tuberculosis lar\u00edngea<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong>Figura 3: <\/strong>Imagen de TAC en la que se visualiza la erosi\u00f3n que se ha producido en el cart\u00edlago epigl\u00f3tico.<\/p>\n<figure id=\"attachment_40221\" aria-describedby=\"caption-attachment-40221\" style=\"width: 340px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/3-tuberculosis-laringea-TAC.jpg\"><img decoding=\"async\" class=\"size-full wp-image-40221\" src=\"http:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/3-tuberculosis-laringea-TAC.jpg\" alt=\"tuberculosis-laringea-tac\" width=\"350\" height=\"466\" srcset=\"https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/3-tuberculosis-laringea-TAC.jpg 350w, https:\/\/www.revista-portalesmedicos.com\/revista-medica\/wp-content\/uploads\/3-tuberculosis-laringea-TAC-225x300.jpg 225w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/a><figcaption id=\"caption-attachment-40221\" class=\"wp-caption-text\">Tuberculosis lar\u00edngea. TAC<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Maltrana GJA, Mahfoud MLL, Fern\u00e1ndez LR. Tuberculosis lar\u00edngea. Presentaci\u00f3n de un caso y revisi\u00f3n de la literatura. ORL Arag\u00f3n.2005; 8(1):7-9.<\/li>\n<li style=\"text-align: justify;\">El manual Merc. Und\u00e9cima edici\u00f3n. 2007:Secci\u00f3n 14: p.1651- 55.<\/li>\n<li style=\"text-align: justify;\">Hemmaoui B, Bouayti B, Errami M, Nadour K, Elboukhari A,Abrouq A, y cols. Laryngitis tuberculosis. A case report. Rev. Laryngol. Otol. Rhinol. (Bord). 2007; 128 (1-2): 93- 6.<\/li>\n<li style=\"text-align: justify;\">Silva L, Damrose E, Bairao F, Nira ML, Junior JC, Costa HO. Infectious granulomatosis laryngitis a<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Amputaci\u00f3n de la epiglotis por tuberculosis lar\u00edngea RESUMEN Paciente con odinofagia, sudoraci\u00f3n y atragantamientos con la ingesta de l\u00edquidos que tras consultar con el servicio de ORL se visualiza amputaci\u00f3n de gran parte de la epiglotis por padecer tuberculosis lar\u00edngea.<\/p>\n","protected":false},"author":2,"featured_media":40221,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[180],"tags":[8288,845],"class_list":["post-40218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-otorrinolaringologia","tag-epiglotis","tag-tuberculosis","no-featured-image-padding"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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