Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713


Publication continuous and bimonthly

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A rare case of co-infection with pulmonary tuberculosis and oronasal actinomycosis

Caso raro de coinfecção tuberculose pulmonar e actinomicose oronasal

Vitor Alexandre Oliveira Fonseca, Gustavo Reis, Carlos Alves, Maria José Simões, Elvira Camacho, António Pinto Saraiva

J Bras Pneumol.2009;35(11):1152-1155

Abstract PDF PT PDF EN Portuguese Text

Oronasal actinomycosis is an infection seldom described in the literature, especially in the form of a co-infection with pulmonary tuberculosis. We report the case of a 48-year-old male admitted to the isolation ward due to active pulmonary tuberculosis, with a history of diabetes and alcohol abuse. While hospitalized, the patient complained of dysphagia and nasal regurgitation of food. The examination of the oral cavity revealed an oronasal fistula. The infecting agent was identified, and the treatment was successful. We also present a brief review of the literature, as well as a full description and discussion of the process of investigating this rare clinical case.


Keywords: Actinomycosis, cervicofacial; Tuberculosis, pulmonary; Oral fistula.


Madelung's disease as a rare cause of obstructive sleep apnea

Doença de Madelung como causa rara de apneia obstrutiva do sono

Vitor Alexandre Oliveira Fonseca, Carlos Alves, Helena Marques, Elvira Camacho, António Pinto Saraiva

J Bras Pneumol.2009;35(10):1053-1056

Abstract PDF PT PDF EN Portuguese Text

Madelung's disease, or multiple symmetric lipomatosis, is a rare disease, characterized by accumulation of unencapsulated fat, generally located symmetrically around the neck and shoulders. Here, we present the case of a patient with diffuse lipomatosis accompanied by obstructive sleep apnea due to cervical involvement and facial deformity, which made it necessary to use nasal pillows for ventilation. The patient was hospitalized with a diagnosis of pneumonia and required noninvasive ventilation due to severe hypercapnia. A brief review of the literature was made, and we describe and discuss the investigation of this rare clinical case.


Keywords: Lipomatosis, multiple symmetrical; Sleep apnea, obstructive; Continuous positive airway pressure; Masks.




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