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Alfredo Guarino pdf - Sipps

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MTB<br />

ASPIRATO<br />

Scarsa collaborazione<br />

Bambini piccoli<br />

Sito inaccessibile<br />

ASPIRATO NON<br />

PRATICABILE<br />

Ziehl Neelsen Citologia Coltura<br />

Bacilli alcool-acido<br />

resistenti<br />

(MTB e MNTB)<br />

SENSIBILITA’ 88%<br />

SPECIFICITA’ 96%<br />

Chao et al. Otolaryngol Had Neck Surg 2002<br />

Cellule Epitelioidi<br />

Cellule multinucleate<br />

Necrosi caseosa<br />

Cellule necrotiche<br />

Granuloma infiammatorio<br />

se Mantoux +<br />

Bassa sensibilità<br />

(20-40%)<br />

90%<br />

Geldmacher et al. Chest 2002

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