Kalp Cerrahisi Sonrası Pompa Akciğeri ile Karışabilen Miliyer Akciğer Tüberkülozu

Year 2012, Volume: 15 Issue: 3, 123 - 126, 01.03.2011

Mehmet Beşir Akpınar Ebru İpek Türkoğlu Sevinç Sannav Fidan Sever

Abstract

Açık kalp cerrahisi sonrası miliyer akciğer tüberkülozu nadir görülen bir durumdur. Asya ve Afrika ülkelerinde ülkemizden daha sık görülüyor olması, küreselleşen dünyada uluslararası seyahatlerin artması nedeniyle bu tablonun karşımıza çıkma olasılığını artırmaktadır. Öz geçmişinde tüberküloz öyküsü olmayan hasta koroner baypas operasyonu sonrasında kardiyak yetmezliği taklit eden klinik bir tabloyla gelmiş, rutin tetkikler sonunda kardiyolog ve kalp cerrahları tarafından kolayca pompa akciğeri tanısı konulmuştur. Konsültasyonlar sonucunda doğru tanı konulana kadar, hastaya uygulanan tedavilerden etkili yanıt alınamamıştır. Koroner baypas operasyonundan 35 gün sonra miliyer akciğer tüberkülozu tanısı alan hasta tedaviye yanıt vermiş ve halen idame tedavisini almaktadır.

Keywords

Tüberküloz, kalp damar; pulmoner kalp hastalıkları; tüberküloz, miliyer.

Miliary Pulmonary Tuberculosis That Can Be Confused with Pump-Lung Syndrome After Heart Surgery

Abstract

Miliary pulmonary tuberculosis is a rare condition following open heart surgery. Tuberculosis is a more common entity in Asia and Africa. Following an increase in international travels globalizing world, the possibility of the occurrence of this entity has increased worldwide. The patient, without a history of previous tuberculosis was admitted to our department with a clinical condition that mimics heart failure. After routine laboratory tests, cardiologists and cardiovascular surgeons easily established the diagnosis of pump lung disease. The condition of patient did not respond to the treatments, untill the right diagnosis established with consultations. The patient responded to treatment following the diagnosis of miliary pulmonary tuberculosis 35 days after coronary bypass surgery, and is still on maintenance therapy.

Keywords

Tuberculosis, cardiovascular; pulmonary heart disease; tuberculosis, miliary.

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