SciELO - Scientific Electronic Library Online

 
vol.47 issue2Detection of EBV-DNA in serum samples of an immunosuppressed child during a three years follow-up: association of clinical and PCR data with active infectionFirst record of Desmodus rotundus in urban area from the city of Olinda, Pernambuco, Northeastern Brazil: a case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista do Instituto de Medicina Tropical de São Paulo

Print version ISSN 0036-4665

Abstract

SEVERO, Luiz Carlos; LEMOS, Antonio Carlos Moreira  and  LACERDA, Heloisa Ramos. Mediastinal histoplasmosis: report of the first two Brazilian cases of mediastinal granuloma. Rev. Inst. Med. trop. S. Paulo [online]. 2005, vol.47, n.2, pp. 103-105. ISSN 0036-4665.  http://dx.doi.org/10.1590/S0036-46652005000200009.

This report documents the first two Brazilian cases of mediastinal granuloma due to histoplasmosis, presenting selected aspects on the diagnosis. Tissue samples revealing histoplasmosis were obtained from each of the patients by mediastinoscopy and thoracotomy. In the second patient, a subcarinal calcified mass eroded into the bronchial tree, leading to secondary bilateral aspiration pneumonitis one week after thoracotomy. Although rare, histoplasmosis should be included in the differential diagnosis of mediastinal granuloma, specially if there are calcifications greater than 10 mm in dimension.

Keywords : Histoplasmosis; Histoplasma capsulatum var. capsulatum; Mediastinal histoplasmosis; Mediastinal granuloma.

        · abstract in Portuguese     · text in English     · pdf in English