Pulmonary paracoccidoidomycosis: radiology and clinical-epidemiological evaluation

Revista da Sociedade Brasileira de Medicina Tropical

Ricardo Miguel Costa De Freitas²  Renata Prado¹  Fábio Luis Silva Do Prado¹  Ivie Braga De Paula¹  Marco Túlio Alves Figueiredo¹  Cid Sérgio Ferreira¹  Eugenio Marcos Andrade Goulart¹  Enio Roberto Pietra Pedroso¹ 

[1] ,Sao Paulo Cancer Institute Radiology Unit Sao Paulo SP ,Brazil

关键词: Paracoccidioidomycosis;    Epidemiology;    Chest X-ray;    Classification;    Paracoccidioidomicose;    Epidemiologia;    Radiografia de tórax;    Classificação;   

DOI  :  10.1590/S0037-86822010000600010

来源: SciELO

【 摘 要 】

INTRODUCTION: The purpose of this study was to compare respiratory signs and symptoms between patients with and without chest X-ray abnormalities in order to establish the meaning of radiographic findings in pulmonary PCM diagnosis. METHODS: The epidemiological, clinical and radiological lung findings of 44 patients with paracoccidiodomycosis (PCM) were evaluated. Patients were divided into two groups of 23 and 21 individuals according to the presence (group 1) or absence (group 2) of chest X-ray abnormalities, respectively, and their clinical data was analyzed with the aid of statistical tools. RESULTS: As a general rule, patients were rural workers, young adult males and smokers - group 1 and 2, respectively: males (91.3% and 66.7%); mean age (44.4 and 27.9 year-old); smoking (34.7% and 71.4 %); acute/subacute presentation (38.1% and 21.7%); chronic presentation (61.9% and 78.3%). The most frequent respiratory manifestations were - group 1 and 2, respectively: cough (25% and 11.4%) and dyspnea (22.7% and 6.8%). No statistical difference was observed in pulmonary signs and symptoms between patients with or without radiographic abnormalities. The most frequent radiological finding was nodular (23.8%) or nodular-fibrous (19%), bilateral (90.5%) and diffuse infiltrates (85.7%). CONCLUSIONS: Absence of statistical difference in pulmonary signs and symptoms between these two groups of patients with PCM indicates clinical-radiological dissociation. A simplified classification of radiological lung PCM findings is suggested, based on correlation of these data and current literature review.

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