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Published on: February 28, 2025
Lung cysts in chronic paracoccidioidomycosis
André Nathan Costa1, Edson Marchiori, Gil Benard
1University of São Paulo School of Medicine, Hospital das Clínicas, Heart Institute, Department of Pulmonology, São Paulo, Brazil. nathan.andre@gmail.com
Lung cysts, often seen on HRCT scans, can be a sign of paracoccidioidomycosis. This fungal infection should be considered in the differential diagnosis of cystic lung diseases.
Area of Science:
- Pulmonology
- Infectious Diseases
- Radiology
Background:
- Lung cysts appear as rounded, low-attenuation areas on HRCT scans.
- Common cystic lung diseases include lymphangioleiomyomatosis, Langerhans cell histiocytosis, and lymphocytic interstitial pneumonia.
Purpose of the Study:
- To investigate the prevalence of lung cysts in patients with paracoccidioidomycosis.
- To determine if paracoccidioidomycosis should be included in the differential diagnosis of cystic lung diseases.
Main Methods:
- Retrospective analysis of HRCT scans.
- Inclusion of 50 patients diagnosed with chronic paracoccidioidomycosis.
Main Results:
- Lung cysts were identified in 5 out of 50 patients (10%) with paracoccidioidomycosis.
- This finding indicates a potential association between paracoccidioidomycosis and lung cysts.
Conclusions:
- Paracoccidioidomycosis can manifest with lung cysts on HRCT scans.
- Paracoccidioidomycosis should be considered in the differential diagnosis of patients presenting with cystic lung disease.
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