Two cases of Chronic Pulmonary Histoplasmosis are reported and other eleven cases, collected from Brazilian literature, are commented. After being clinically cured, one of our patients presented an Aspergillus fungus ball inside a cavitation in the wall of which H. capsulatum was disclosed. Comments are also done on the diagnosis of the mycosis
Histoplasmosis; Histoplasma capsulatum; Lung; Cavitation; Aspergillus fumigatus; Fungus ball; Transthoracic biopsy
|
Case # (Ref) |
Patient age, sex, |
Radiologic features |
Material |
Diagnosis |
IDh |
||
|
M |
C |
I |
|||||
|
1 (7) |
41, M |
Mass lesion in middle lobe |
Lung (open lung biopsy) |
+ |
|||
|
2 (1) |
45, M |
"Delicate shadows at the inner aspects and bases of the lungs" |
Sputum Supraclavicular lymph node |
+ |
+ + |
||
|
3 (1) |
35, M |
"Discrete patch" at the apex of the right lung |
Sputum |
+ |
|||
|
4 (9) |
72, M |
Bilateral lung consolidation and pleural effusion |
H, M |
||||
|
5 (9) |
53, F |
Nodular lesions in both lungs and cavity in right lung |
M |
||||
|
6 (2) |
64, M |
Reticulonodular infiltration in both lungs and cavites in the right upper lobe |
Sputum |
+ |
+ |
+ |
H, M |
|
7 (2) |
58, M |
Reticulonodular infiltration in right lung and cavities in left lung |
Sputum |
+ |
+ |
+ |
H, M |
|
8 (2) |
74, M |
Reticulonodular infiltration in both lungs, consolidation and pleural thickness in right upper lobe |
Sputum |
+ |
+ |
+ |
H, M |
|
9 (3) |
34, F |
Sputum |
|
+ |
H, M |
||
|
10 (3) |
42, F |
Sputum |
|
+ |
H, M |
||
|
11 (3) |
64, M |
Sputum |
|
+ |
H, M |
||
