Abstract
Introduction: Tuberculosis is an infectious disease that causes currently nearly 2 million deaths worldwide. More than 200,000 of these occur in patients co-infected with HIV. There are about 700 000 new cases a year, and we found the presence of two cases with atypical association of schistosomiasis and sporotrichosis.
Objective: To report our experience with concomitant infection tuberculosis with schistosomiasis and sporotrichosis.
Method: Cases study of patients infected with tuberculosis in the Hospital of the UNICAMP-Campinas,Brazil.
Results: We found the case of man, 55 years, alcoholic, with pleural effusion for about a year. Thoracocentesis resulted in exudate and ADA= 66 U/L. Chest CT showed mediastinal lymphadenopathy. Result of culture of lymph node removed by mediastinoscopy was positive to Mycobacterium tuberculosis and Sporothrix schenckii. The other case is a 32 years old, male, with a history of fever and weight loss with chest x-ray opacity in the left apex. Chest CT showed a mass in right upper lobe permeated by a tree in bud and mediastinal lymphadenopathy. He underwent lobectomy that showed the presence of Schistosoma mansoni and Mycobacterium tuberculosis in parenchyma, pleura and lymph nodes.
Conclusion: Tuberculosis can be associated to other diseases even in HIV-negative patients, including simulating lung cancer.
- © 2011 ERS