{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:22:39Z","timestamp":1761823359894},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>OBJETIVO: Estudar os aspectos cl\u00ednicos, epidemiol\u00f3gicos, radiol\u00f3gicos e endosc\u00f3picos encontrados em indiv\u00edduos com pneumonia tuberculosa. M\u00c9TODOS: Entre dezembro de 2005 e fevereiro de 2007, foram estudados 2.828 pacientes com tuberculose que foram consecutivamente atendidos em uma unidade de sa\u00fade p\u00fablica. Desses, 59 (2,1%) tiveram envolvimento pulmonar compat\u00edvel com f\u00edstula entre um linfonodo e um br\u00f4nquio. RESULTADOS: Dos 59 pacientes estudados, 43 (73%) tinham entre 20 e 50 anos de idade, 31 (53%) eram do sexo masculino, e 28 (47%) eram negros. Os sintomas mais frequentes foram tosse (100%), febre (88%), expectora\u00e7\u00e3o (81%) e perda de peso (40%). Comorbidades foram registradas em 35 pacientes (59%), especialmente a infec\u00e7\u00e3o por HIV (20%) e diabetes (15%). Na radiografia de t\u00f3rax, a consolida\u00e7\u00e3o predominou nos lobos superiores (em 68%). A confirma\u00e7\u00e3o diagn\u00f3stica (presen\u00e7a de BAAR) foi feita principalmente por baciloscopia direta do escarro, seguida por broncoscopia (LBA e bi\u00f3psia br\u00f4nquica). Les\u00f5es br\u00f4nquicas claramente indicativas ou sugestivas de f\u00edstula foram identificadas em tr\u00eas casos e cinco casos, respectivamente. CONCLUS\u00d5ES: A pneumonia tuberculosa apresenta-se como uma infec\u00e7\u00e3o respirat\u00f3ria aguda, com tosse seca seguida por febre. A radiografia de t\u00f3rax mostra consolida\u00e7\u00e3o alveolar. Na maioria dos casos, a pneumonia tuberculosa foi acompanhada por pelo menos uma comorbidade, especialmente a infec\u00e7\u00e3o por HIV, e a confirma\u00e7\u00e3o etiol\u00f3gica foi obtida principalmente atrav\u00e9s do exame de escarro direto para BAAR. Os achados de broncoscopia foram indicativos de f\u00edstula br\u00f4nquica em oito casos (13%).<\/jats:p>","DOI":"10.1590\/s1806-37132011000200014","type":"journal-article","created":{"date-parts":[[2011,4,29]],"date-time":"2011-04-29T04:34:19Z","timestamp":1304051659000},"page":"232-237","source":"Crossref","is-referenced-by-count":8,"title":["Pneumonia tuberculosa: um estudo de 59 casos confirmados microbiologicamente"],"prefix":"10.1590","volume":"37","author":[{"given":"Jose","family":"Moreira","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul; Pavilh\u00e3o Pereira Filho, Santa Casa de Porto Alegre,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamila Belicanta","family":"Fochesatto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana 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