md-medicaldata

Authors

 

Ana Milenković¹, Jovan Javorac^1,2, Miroslav Ilić^1,3, Darinka Kukavica<sup>1

1</sup>Institut za plućne bolesti Vojvodine, Klinika za granulomatozne i intersticijumske bolesti pluća, Sremska Kamenica
²Visoka škola strukovnih studija za obrazovanje vaspitača i trenera, Departman za biomedicinske nauke, Subotica
³Medicinski fakultet, Katedra za internu medicinu, Novi Sad

 

UDK: 618.19-002.5

The paper was received / Rad primljen: 29.01.2021.

Accepted / Rad prihvaćen: 10.02.2021.

 

Correspondence to:

dr Ana Milenković
Klinika za granulomatozne i intersticijumske bolesti,
Institut za plućne bolesti Vojvodine
Put dr Goldmana 4
21204 Sremska Kamenica
e-mail: ana.m.jakic@gmail.com

 

 

Sažetak

 

Pacijentkinja starosti 49 godina je hospitalizovana u Institutu za plućne bolesti Vojvodine zbog radiološki verifikovane eskavirane plućne promene. Od tegoba navodi suv kašalj, mršavljenje i noćno preznojavanje. Direktnom mikroskopijom sputuma uočeni su acidoalkoholorezistentni bacili (AARB), te je na osnovu kliničke slike, radiološkog nalaza i sputuma započeto lečenje antituberkuloticima za I kategoriju obolelih. Kulture sputuma su istekle pozitivne. Po uvođenju terapije bolesnica se žali na bol i otok desne dojke. Pri pregledu uočavaju se znaci upalnog procesa (bol, otok, crvenilo) levog donjeg kvadranta desne dojke sa razvojem ulceracije u predelu areole. Urađen je bris rane na desnoj dojci, direktnom mikroskopijom su uočeni  AARB, te je nastavljeno sa prethodno započetom terapijom, uz primenu simptomatika u vidu analgetika i alkoholnih obloga.  Lečenje antituberkuloticima je sprovedeno u ukupnom trajanju od 8 meseci, postignuta je zadovoljavajuća radiološka regresija plućnih promena, lokalni nalaz na desnoj dojci je uredan.

 

 

 

Ključne reči:

tuberkuloza dojke, vanplućna tuberkuloza

 

 

 

Abstract

A 49-year old patient was hospitalized at the Institute for pulmonary diseases of Vojvodina due to radiologically verified excavated lung lesion. Her symptoms were dry cough, weight loss and night sweating. Acid-alcohol-resistant bacilli (AARB) were observed by direct microscopy of sputum, and on the basis of the clinical signs, radiological findings and sputum, treatment with antituberculotics for category I patients was started. Sputum cultures were positive. After the starting of therapy, the patient complains of pain and swelling of the right breast. During the examination, signs of an inflammatory process (pain, swelling, redness) of the left lower quadrant of the right breast with the development of ulceration in the area of ​​the areola are noticed. A swab of the wound on the right breast was performed, AARB was observed by direct microscopy, and the previously started therapy was continued, together with  symptomatic therapy in the form of analgesics and alcohol coating. Treatment with antituberculotics was carried out for a total duration of 8 months, good  radiological regression of pulmonary changes was achieved, and the local finding on the right breast was normal.

 

 

Key words:

breast tuberculosis, extrapulmonary tuberculosis

 

 

 

 

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