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La tos tóxica crónica en adultos: un informe de caso
Wanjing Yang1, Zixin Qiu2, Duanya Liu1
1Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.
Frontiers in medicine
|August 28, 2025
Resumen
La tos de garrapatas, aunque poco frecuente en adultos, debe considerarse cuando se descartan causas comunes de tos crónica. Se recomienda un enfoque multidisciplinario con la participación de psiquiatras para un manejo óptimo, especialmente con antecedentes de trastornos del tic.
Área de la Ciencia:
- Pulmonología
- Neurología
- La psiquiatría
Sus antecedentes:
- La tos crónica en adultos a menudo se debe a trastornos respiratorios (por ejemplo, asma variante de tos), ENT (por ejemplo, goteo postnasal) o digestivos (por ejemplo, ERGE).
- La anafilaxia y la alergia también son etiologías comunes para la tos persistente.
- El diagnóstico y el tratamiento de la tos crónica generalmente se centran en estas causas somáticas.
Objetivo del estudio:
- Para resaltar la importancia de considerar la tos tic en adultos con tos crónica.
- Para describir las consideraciones de diagnóstico para la tos tic.
- Recomendar una estrategia de tratamiento óptima para la tos tic.
Principales métodos:
- Revisión de la literatura y análisis de casos clínicos.
- El diagnóstico diferencial de la tos crónica.
- Evaluación de la respuesta al tratamiento.
Principales resultados:
- Los trastornos somáticos son causas comunes de la tos crónica.
- La tos de garrapatas debe considerarse cuando se descartan otras causas y el tratamiento es ineficaz.
- Un historial de trastornos de tics o síntomas actuales de tics aumenta la sospecha de tos de tics.
Conclusiones:
- La tos de garrapatas es un diagnóstico de exclusión en adultos.
- Se recomienda un enfoque de tratamiento multidisciplinario, incluidos los psiquiatras, para la tos tic.
- La consideración temprana y el tratamiento adecuado pueden mejorar los resultados para los pacientes con tos crónica debido al trastorno del tic.
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