Related Experiment Videos
[Thoracic radiologic aspects in paracoccidioidomycosis]
A C do Valle1, R R Guimarães, D J Lopes
1Hospital Evandro Chagas/FIOCRUZ, Rio de Janeiro, Brasil.
Revista Do Instituto De Medicina Tropical De Sao Paulo
|March 1, 1992
Summary
This study analyzed paracoccidioidomycosis radiographs, finding common radiographic patterns and frequent regression of pulmonary lesions. Most patients showed lesion improvement within six months, highlighting the treatability of paracoccidioidomycosis lung involvement.
Area of Science:
- Medical Imaging
- Infectious Diseases
- Pulmonology
Background:
- Paracoccidioidomycosis is a systemic fungal infection endemic to Latin America.
- Pulmonary involvement is common and radiographic findings can mimic other lung diseases.
- Understanding radiographic patterns is crucial for diagnosis and management.
Purpose of the Study:
- To analyze radiographic abnormalities in paracoccidioidomycosis patients.
- To identify associated conditions such as tuberculosis.
- To evaluate the radiological regression of pulmonary lesions over time.
Main Methods:
- Retrospective analysis of 159 paracoccidioidomycosis patient radiographs from 1960-1988.
- Classification of radiographic abnormalities based on lesion predominance and type (alveolar/interstitial).
- Assessment of radiological lesion regression in a subset of patients.
Main Results:
- Common radiographic patterns included infiltrates (39.6%), mist (20.1%), and pneumonic (16.6%).
- Associated conditions observed were tuberculosis (15.09%), pneumoconiosis, aspergillosis, and carcinoma.
- Radiological regression occurred within 6 months in 75.2% of cases, with some showing longer regression times or no change.
Conclusions:
- Infiltrates, mist, and pneumonic patterns are frequent radiographic manifestations of paracoccidioidomycosis.
- Co-infection with tuberculosis is a significant finding in this patient cohort.
- Pulmonary paracoccidioidomycosis often shows radiological improvement, typically within six months.