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Revista de salud publica del Paraguay

On-line version ISSN 2307-3349


NARVAEZ, DM; AMARILLA, R  and  FLORES, LE. Pleural MesotheliomaCase report. Hospital of Clinics. Asunción, Paraguay. Rev. salud publica Parag. [online]. 2017, vol.7, n.1, pp.45-49. ISSN 2307-3349.

Male, 49 years old, without any disease, entered by feeling feverish, with chills, headache, myalgia. Three days before hospital admission, he presents with cough and whitish sputum and pain in left side tip and respiratory distress. At physical examination: BP: 107/61; HR: 96 X' ; RR: 24 X'; T: 36°C. Respiratory: Breath sounds on the right side preserved, abolished in base and midfield on left side. Haemolynphopoietic system: lynphadenopathy inguinal region, mobile, small, painless. Evolution: He settled chest tube, because of an important pleural effusion. Thoracoscopy was performed, an extrabronchial mass was found and a biopsy was taken. Pathology + Inmunohistochemistry says, high grade tumor that seems a pleural mesothelioma. The patient died a month after his diagnosis. Pleural Mesothelioma considered as a pathology labor - enviromental, caused by the inhalation of asbestos fibers. There are serious discussions about banning the use of asbestos. In some countries import / export is prohibited, but not in Paraguay.

Keywords : Pleural mesothelioma; Asbesto, Paraguay.

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