Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case
Autor(a) principal: | |
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Data de Publicação: | 1986 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/101293 |
Resumo: | Paracoccidioidomycosis (Pbmycosis) reaches the lungs through the respiratory tract where it initiates the primary infection. Although the disease produces a variety of extrapulmonary manifestations, the lungs are involved in a large number of cases. The trachea is affected by Pbmycosis lymphohematogenic dissemination causing a granulomatous process leading to airway obstruction and secondary asphyxia. A 32 years old male, farm worker coming from Sarutaia (SP.) was studied in our hospital. The patient has developed, since 8 months ago a white productive daily cough and a mild dyspnea. Four months later, the mentioned symptoms worsened and anorexia and asthenia appeared. One month previously to hospital admission the dyspnea increased and a weight loss of 15 kg was observed. He has been a heavy smoker and a heavy drinker during the last 16 years. On physical examination it was observed: blood pressure = 100/70 mm/Hg, respiratory rate = 28 pm, body weight = 31 Kg. Pulmonary emphysema, clubbing, loud an splitting S2, right ventricular hypertrophy on E.K.G., hepatosplenomegaly and signs of obstructive pulmonary disease allowed the diagnosis of a "Cor pulmonale" like syndrome, Amphotericin B was administred at the dose of 1 mg/Kg body weight. A relative adrenal insufficiency was observed early during the treatment. 45 days after hospitalization the patient developed an acute respiratory insufficiency caused by tracheal obstruction and aggravated Cor pulmonale. In spite of intensive care he died. The tracheal stenosis and sub acute Cor pulmonale reported in this patient is a rare manifestation of human pulmonary pbmycosis. |
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Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a caseParacoccidioidomicose pulmonar agressiva, endotraqueíte estenosante e cor-pulmonale subagudo: descrição de um casoParacoccidioidomycosis (Pbmycosis) reaches the lungs through the respiratory tract where it initiates the primary infection. Although the disease produces a variety of extrapulmonary manifestations, the lungs are involved in a large number of cases. The trachea is affected by Pbmycosis lymphohematogenic dissemination causing a granulomatous process leading to airway obstruction and secondary asphyxia. A 32 years old male, farm worker coming from Sarutaia (SP.) was studied in our hospital. The patient has developed, since 8 months ago a white productive daily cough and a mild dyspnea. Four months later, the mentioned symptoms worsened and anorexia and asthenia appeared. One month previously to hospital admission the dyspnea increased and a weight loss of 15 kg was observed. He has been a heavy smoker and a heavy drinker during the last 16 years. On physical examination it was observed: blood pressure = 100/70 mm/Hg, respiratory rate = 28 pm, body weight = 31 Kg. Pulmonary emphysema, clubbing, loud an splitting S2, right ventricular hypertrophy on E.K.G., hepatosplenomegaly and signs of obstructive pulmonary disease allowed the diagnosis of a "Cor pulmonale" like syndrome, Amphotericin B was administred at the dose of 1 mg/Kg body weight. A relative adrenal insufficiency was observed early during the treatment. 45 days after hospitalization the patient developed an acute respiratory insufficiency caused by tracheal obstruction and aggravated Cor pulmonale. In spite of intensive care he died. The tracheal stenosis and sub acute Cor pulmonale reported in this patient is a rare manifestation of human pulmonary pbmycosis.A paracoccidioidomicose (Pbmicose) atinge os pulmões pela via inalatória, onde se estabelece o complexo primário semelhante ao da tuberculose. A traquéia comprometida pela via tubohemolinfática desenvolveria reação inflamatória em processo granulomatoso levando à obstrução estenosante com asíixia. Acompanhou-se um doente, masculino, 32 anos, branco, natural de Sarutaiá (SP), lavrador, que há 8 meses desenvolveu tosse expectorativa branco-amarelada, diária, sem fatores de melhora ou piora e dispnéia inicial discreta. Há 4 meses, anorexia, fraqueza e astenia. Há 1 mês a dispneia se agravou. Perdeu 15 kg. Tabagista e etilista há 16 anos. Exame físico revelou: PA 10/7 mmHg, FR = 28 bpm, peso 31 kg, hipocratismo digital e hipotrofia muscular Tórax enfisematoso e síndrome obstrutivo aos testes de função pulmonar. Coração: P2 desdobrada e hiperfonética. Hepatesplenomegalia. Desenvolveu cor-pulmonale e insuficiência adrenal à internação, evoluindo após 45 dias para óbito em insuficiência respiratória aguda asfixiante, apesar da terapia antifúngica ter sido completa. A literatura médica revista não mostrou registro de caso semelhante de cor-pulmonale e insuficiência adrenal de evolução subaguda.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo1986-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/101293Revista do Instituto de Medicina Tropical de São Paulo; Vol. 28 No. 3 (1986); 185-189Revista do Instituto de Medicina Tropical de São Paulo; Vol. 28 Núm. 3 (1986); 185-189Revista do Instituto de Medicina Tropical de São Paulo; v. 28 n. 3 (1986); 185-1891678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTporhttps://www.revistas.usp.br/rimtsp/article/view/101293/99920Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessCampos, E. P.Torchio, L. N.Cataneo, A. J. M.Perotti, L. A.2015-07-30T18:35:52Zoai:revistas.usp.br:article/101293Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:32.859714Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case Paracoccidioidomicose pulmonar agressiva, endotraqueíte estenosante e cor-pulmonale subagudo: descrição de um caso |
title |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
spellingShingle |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case Campos, E. P. |
title_short |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
title_full |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
title_fullStr |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
title_full_unstemmed |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
title_sort |
Aggressive pulmonary paracoccidioidomycosis, stenosante tracheitis and subacute Cor pulmonale: report of a case |
author |
Campos, E. P. |
author_facet |
Campos, E. P. Torchio, L. N. Cataneo, A. J. M. Perotti, L. A. |
author_role |
author |
author2 |
Torchio, L. N. Cataneo, A. J. M. Perotti, L. A. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Campos, E. P. Torchio, L. N. Cataneo, A. J. M. Perotti, L. A. |
description |
Paracoccidioidomycosis (Pbmycosis) reaches the lungs through the respiratory tract where it initiates the primary infection. Although the disease produces a variety of extrapulmonary manifestations, the lungs are involved in a large number of cases. The trachea is affected by Pbmycosis lymphohematogenic dissemination causing a granulomatous process leading to airway obstruction and secondary asphyxia. A 32 years old male, farm worker coming from Sarutaia (SP.) was studied in our hospital. The patient has developed, since 8 months ago a white productive daily cough and a mild dyspnea. Four months later, the mentioned symptoms worsened and anorexia and asthenia appeared. One month previously to hospital admission the dyspnea increased and a weight loss of 15 kg was observed. He has been a heavy smoker and a heavy drinker during the last 16 years. On physical examination it was observed: blood pressure = 100/70 mm/Hg, respiratory rate = 28 pm, body weight = 31 Kg. Pulmonary emphysema, clubbing, loud an splitting S2, right ventricular hypertrophy on E.K.G., hepatosplenomegaly and signs of obstructive pulmonary disease allowed the diagnosis of a "Cor pulmonale" like syndrome, Amphotericin B was administred at the dose of 1 mg/Kg body weight. A relative adrenal insufficiency was observed early during the treatment. 45 days after hospitalization the patient developed an acute respiratory insufficiency caused by tracheal obstruction and aggravated Cor pulmonale. In spite of intensive care he died. The tracheal stenosis and sub acute Cor pulmonale reported in this patient is a rare manifestation of human pulmonary pbmycosis. |
publishDate |
1986 |
dc.date.none.fl_str_mv |
1986-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/101293 |
url |
https://www.revistas.usp.br/rimtsp/article/view/101293 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/101293/99920 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 28 No. 3 (1986); 185-189 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 28 Núm. 3 (1986); 185-189 Revista do Instituto de Medicina Tropical de São Paulo; v. 28 n. 3 (1986); 185-189 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
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Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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||revimtsp@usp.br |
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1798951651187359744 |