Pulmonary Paracoccidioidomycosis and AIDS

Marchiori, Edson; Gasparetto, Emerson L.; Escuissato, Dante L.; Souza, Arthur Soares; Barreto, Míriam Menna

doi:10.1097/rct.0b013e318030c28f

Cited by 11 publications

(1 citation statement)

References 14 publications

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“…Opportunistic forms of PCM infection have been reported in cases of immunocompetent patients ( 26 ) , but few cases of association between PCM and HIV infection are reported in the literature ( 21 , 26 , 27 ) . Little is known about the incidence and clinical manifestations of the disease in this particular group of individuals ( 26 ) .…”

Section: Discussionmentioning

confidence: 99%

Computed tomography findings of paracoccidiodomycosis in musculoskeletal system

et al. 2015

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ObjectiveTo evaluate musculoskeletal involvement in paracoccidioidomycosis at computed tomography.Materials and MethodsDevelopment of a retrospective study based on a review of radiologic and pathologic reports in the institution database. Patients with histopathologically confirmed musculoskeletal paracoccidioidomycosis and submitted to computed tomography were included in the present study. The imaging findings were consensually described by two radiologists. In order to avoid bias in the analysis, one patient with uncountable bone lesions was excluded from the study.ResultsA total of seven patients were included in the present study. A total of 18 bone lesions were counted. The study group consisted of 7 patients. A total number of 18 bone lesions were counted. Osteoarticular lesions were the first manifestation of the disease in four patients (57.14%). Bone lesions were multiple in 42.85% of patients. Appendicular and axial skeleton were affected in 85.71% and 42.85% of cases, respectively. Bone involvement was characterized by well-demarcated osteolytic lesions. Marginal osteosclerosis was identified in 72.22% of the lesions, while lamellar periosteal reaction and soft tissue component were present in 5.55% of them. One patient showed multiple small lesions with bone sequestra.ConclusionParacoccidioidomycosis can be included in the differential diagnosis of either single or multiple osteolytic lesions in young patients even in the absence of a previous diagnosis of pulmonary or visceral paracoccidioidomycosis

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Section: Discussionmentioning

confidence: 99%

Computed tomography findings of paracoccidiodomycosis in musculoskeletal system

et al. 2015

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Other HIV-Associated Pneumonias

Pupaibool

Limper

2013

Clinics in Chest Medicine

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Approach to Fungal Infections in Human Immunodeficiency Virus–Infected Individuals

Wang

Miller

Huang

2017

Clinics in Chest Medicine

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SYNOPSIS Many fungi cause pulmonary disease in HIV-infected patients. Major pathogens include Pneumocystis jirovecii, Cryptococcus neoformans, Aspergillus species, Histoplasma capsulatum, Coccidioides species, Blastomyces dermatitidis, Paracoccidioides brasiliensis, Talaromyces marneffei, and Emmonsia species. Because symptoms are frequently non-specific, a high index of suspicion for fungal infection is required for diagnosis. Clinical manifestations of fungal infection in HIV-infected patients frequently depend on the degree of immunosuppression and the CD4+ TH cell count. Establishing definitive diagnosis is important because treatments differ. Primary and secondary prophylaxis depends on CD4+ TH cell counts as well as geographic location and local prevalence of disease.

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Pulmonary Paracoccidioidomycosis and AIDS

Cited by 11 publications

References 14 publications

Computed tomography findings of paracoccidiodomycosis in musculoskeletal system

Computed tomography findings of paracoccidiodomycosis in musculoskeletal system

Other HIV-Associated Pneumonias

Approach to Fungal Infections in Human Immunodeficiency Virus–Infected Individuals

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