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Revista Médica La Paz
On-line version ISSN 1726-8958
Abstract
GUTIERREZ MERCADO, Vania Luz and ALCON POMA, Juan Carlos. SÍNDROME DEL LÓBULO MEDIO: REPORTE DE UN CASO. Rev. Méd. La Paz [online]. 2016, vol.22, n.1, pp.42-46. ISSN 1726-8958.
Middle lobe syndrome is a condition characterized by recurrent and chronic collapse of the middle lobe of the right lung, within this entity obstructive and nonobstructive two forms with varied etiologies including infectious diseases such as tuberculosis, cancer and others are known. Bronchoscopy is the most useful for the differential diagnosis tool. We present the case of a patient of 26 years of middle lobe syndrome hematogenous miliary tuberculosis and pneumonic cavern with high probability of abscess is presented. Regarding the tuberculous etiology of middle lobe syndrome cases have been reported linked to endobronchial tuberculosis with and without parenchymal involvement, this entity has proven to be difficult to diagnose because the smear is often negative, requiring the use of chest CT, bronchoscopy and culture especially bronchoalveolar lavage and/or histopathology specimens obtained.
Keywords : middle lobe syndrome; endobronchial tuberculosis.