Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes

Detalhes bibliográficos
Autor(a) principal: Ferrari, Rodrigo dos Santos
Data de Publicação: 2014
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações do UFSM
Texto Completo: http://repositorio.ufsm.br/handle/1/5840
Resumo: Introduction: paracoccidioidomycosis (PCM), histoplasmosis and cryptococcosis are mycoses caused by dimorphic fungi which exist as yeasts or spherules in the tissues. The infection occurs when the fungus is inhaled, involving mainly the lungs. Justification: These disorders are relatively common in the immunocompetent population, and are an important cause of radiological abnormalities on chest computed tomography scans (CT / HRCT). Objectives: To identify and describe the frequency of radiological findings of PCM, histoplasmosis and cryptococcosis on CT/HRCT scans of the thorax through the analysis of imaging studies and medical records of immunocompetent patients diagnosed with these pathologies at the University Hospital of Santa Maria (HUSM) from January 2006 to April 2012. Materials and methods: Transversal study which were evaluated CT / HRCT scans of the chest and the medical records of patients hospitalized and/or receiving outpatient treatment in the HUSM between January 2006 to April 2012. Results: The study population was formed by 28 patients, 21 men and 7 women, aged between 18 and 75 years. The PCM was found in 60% of cases and their radiological findings were as: inter / intralobular septal thickening and / or nodules (76,4%), lung parenchymal interstitial thickening and/or architectural distortion (58,8%), bronchial wall thickening and / or ground-glass opacities (52,9%), consolidation and / or parenchymal bands (41.1%), cavitated lesions (35,3%), reversed halo sign (23,5%), areas of cicatricial enfhysema (17,7%) and lung mass (5,9%). Cryptococcosis it was observed: lung nodules and / or cavitated lesions (50,0%), consolidation and / or hilar lymphadenomegaly (37,5%), lung mass (25,0%), pleural effusion, ground-glass opacities and / or mediastinal lymphadenomegaly (12,5%). Histoplasmosis in the most frequent findings were signs of emphysema and / or pulmonary fibrosis (66,6%), bullous areas and / or architectural distortion (66,6%). Conclusion: PCM, histoplasmosis and cryptococcosis are a frequent cause of radiological abnormalities on CT/HRCT scans of the thorax. Therefore, it is important to recognize these findings so that we can include these diseases in the differential diagnosis of pulmonary lesions.
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spelling 2015-04-022015-04-022014-08-08FERRARI, Rodrigo dos Santos. The radiological findings of major mycoses in immunocompetent patients. 2014. 54 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2014.http://repositorio.ufsm.br/handle/1/5840Introduction: paracoccidioidomycosis (PCM), histoplasmosis and cryptococcosis are mycoses caused by dimorphic fungi which exist as yeasts or spherules in the tissues. The infection occurs when the fungus is inhaled, involving mainly the lungs. Justification: These disorders are relatively common in the immunocompetent population, and are an important cause of radiological abnormalities on chest computed tomography scans (CT / HRCT). Objectives: To identify and describe the frequency of radiological findings of PCM, histoplasmosis and cryptococcosis on CT/HRCT scans of the thorax through the analysis of imaging studies and medical records of immunocompetent patients diagnosed with these pathologies at the University Hospital of Santa Maria (HUSM) from January 2006 to April 2012. Materials and methods: Transversal study which were evaluated CT / HRCT scans of the chest and the medical records of patients hospitalized and/or receiving outpatient treatment in the HUSM between January 2006 to April 2012. Results: The study population was formed by 28 patients, 21 men and 7 women, aged between 18 and 75 years. The PCM was found in 60% of cases and their radiological findings were as: inter / intralobular septal thickening and / or nodules (76,4%), lung parenchymal interstitial thickening and/or architectural distortion (58,8%), bronchial wall thickening and / or ground-glass opacities (52,9%), consolidation and / or parenchymal bands (41.1%), cavitated lesions (35,3%), reversed halo sign (23,5%), areas of cicatricial enfhysema (17,7%) and lung mass (5,9%). Cryptococcosis it was observed: lung nodules and / or cavitated lesions (50,0%), consolidation and / or hilar lymphadenomegaly (37,5%), lung mass (25,0%), pleural effusion, ground-glass opacities and / or mediastinal lymphadenomegaly (12,5%). Histoplasmosis in the most frequent findings were signs of emphysema and / or pulmonary fibrosis (66,6%), bullous areas and / or architectural distortion (66,6%). Conclusion: PCM, histoplasmosis and cryptococcosis are a frequent cause of radiological abnormalities on CT/HRCT scans of the thorax. Therefore, it is important to recognize these findings so that we can include these diseases in the differential diagnosis of pulmonary lesions.Introdução: A paracoccidiodomicose (PCM), a histoplasmose e a criptococose são micoses causadas por fungos, dimórficos, que existem como leveduras ou esférulas nos tecidos. A infecção ocorre quando o fungo é inalado, acometendo preferencialmente os pulmões. Justificativa: Essas patologias são relativamente comuns na população imunocompetente e uma importante causa de alterações nos exames de tomografia computadorizada do tórax (TC/TCAR). Objetivos: Identificar e descrever a frequência dos achados radiológicos pulmonares da PCM, histoplasmose e criptococose na TC/TCAR do tórax através da análise de exames de imagem e prontuários médicos de pacientes imunocompetentes diagnosticados com essas patologias no Hospital Universitário de Santa Maria (HUSM) no período de janeiro 2006 a abril de 2012. Materiais e métodos: Estudo transversal em que foram avaliadas as TC/TCAR do tórax e os prontuários médicos de pacientes internados e/ou em acompanhamento ambulatorial no HUSM no período de janeiro 2006 a abril de 2012. Resultados: A população do estudo foi formada por 28 pacientes, sendo 21 homens e 7 mulheres, com idades entre 18 e 75 anos. A PCM foi encontrada em 60% dos casos e seus achados radiológicos foram: espessamento dos septos inter/intralobulares e/ou nódulos (76,4%), espessamento do interstício parenquimatoso e/ou distorção da arquitetura do parênquima pulmonar (58,8%), espessamento de paredes brônquicas e/ou opacidades em vidro fosco (52,9%), consolidação e/ou bandas parenquimatosas (41,1%), lesão escavada (35,3%), sinal do halo invertido (23.5%), enfisema paracicatricial (17,7%) e massa pulmonar (5,9%). Na criptococose observou- se: nódulos pulmonares e/ou lesão escavada (50%), consolidação e/ou linfonodomegalias hilares (37,5%), massa pulmonar (25,0%), derrame pleural, opacidades em vidro fosco e/ou linfonodomegalias mediastinais (12,5%) e na histoplasmose os achados mais frequentes foram: sinais de enfisema e/ou fibrose pulmonar (66,6%), áreas bolhosas e/ou distorção da arquitetura do parênquima (66,6%). Conclusão: A PCM, criptococose e histoplasmose cursam freqüentemente com alterações radiológicas na TC/TCAR do tórax de pacientes imunocompetentes, sendo importante reconhecer esses achados para que possamos incluí-las no diagnóstico diferencial das lesões pulmonares.application/pdfporUniversidade Federal de Santa MariaPrograma de Pós-Graduação em Ciências da SaúdeUFSMBRMedicinaParacoccidioidomicoseHistoplasmoseCriptococoseTomografiaParacoccidioidomycosis (PCM)HistoplasmosisCryptococcosisTomographyCNPQ::CIENCIAS DA SAUDEAchados radiológicos pulmonares das principais micoses em pacientes imunocompetentesThe radiological findings of major mycoses in immunocompetent patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisSantos, José Wellington Alves doshttp://lattes.cnpq.br/0323220658204980Gallarreta, Francisco Maximiliano Pancichhttp://lattes.cnpq.br/6610643089938647Haeffner, Leris Salete Bonfantihttp://lattes.cnpq.br/4056008693346464http://lattes.cnpq.br/4315101164554785Ferrari, Rodrigo dos Santos400000000001400300300300500bd54e249-3e9f-4222-a7f6-48210c165a1f8e67b35c-ce12-4637-883b-3534c86373d2d97b4372-4659-47eb-8219-a7631d466f5971c0a8f3-dcc6-4873-bcb1-a93724122534info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGCS_2014_FERRARI_RODRIGO.pdfDissertação de Mestradoapplication/pdf289743http://repositorio.ufsm.br/bitstream/1/5840/1/DIS_PPGCS_2014_FERRARI_RODRIGO.pdffd11e52068bf177c209006380e3c4986MD51TEXTFERRARI, RODRIGO DOS SANTOS.pdf.txtFERRARI, RODRIGO DOS SANTOS.pdf.txtExtracted texttext/plain96927http://repositorio.ufsm.br/bitstream/1/5840/2/FERRARI%2c%20RODRIGO%20DOS%20SANTOS.pdf.txtf94eb870d2c5fdea0f289fe1362e2894MD52DIS_PPGCS_2014_FERRARI_RODRIGO.pdf.txtDIS_PPGCS_2014_FERRARI_RODRIGO.pdf.txtExtracted texttext/plain96927http://repositorio.ufsm.br/bitstream/1/5840/4/DIS_PPGCS_2014_FERRARI_RODRIGO.pdf.txtf94eb870d2c5fdea0f289fe1362e2894MD54THUMBNAILFERRARI, RODRIGO DOS SANTOS.pdf.jpgFERRARI, RODRIGO DOS SANTOS.pdf.jpgIM Thumbnailimage/jpeg4725http://repositorio.ufsm.br/bitstream/1/5840/3/FERRARI%2c%20RODRIGO%20DOS%20SANTOS.pdf.jpgf11e52779390bd153f030e9112eb4cceMD53DIS_PPGCS_2014_FERRARI_RODRIGO.pdf.jpgDIS_PPGCS_2014_FERRARI_RODRIGO.pdf.jpgIM Thumbnailimage/jpeg4725http://repositorio.ufsm.br/bitstream/1/5840/5/DIS_PPGCS_2014_FERRARI_RODRIGO.pdf.jpgf11e52779390bd153f030e9112eb4cceMD551/58402022-07-22 09:39:42.334oai:repositorio.ufsm.br:1/5840Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2022-07-22T12:39:42Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.por.fl_str_mv Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
dc.title.alternative.eng.fl_str_mv The radiological findings of major mycoses in immunocompetent patients
title Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
spellingShingle Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
Ferrari, Rodrigo dos Santos
Paracoccidioidomicose
Histoplasmose
Criptococose
Tomografia
Paracoccidioidomycosis (PCM)
Histoplasmosis
Cryptococcosis
Tomography
CNPQ::CIENCIAS DA SAUDE
title_short Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
title_full Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
title_fullStr Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
title_full_unstemmed Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
title_sort Achados radiológicos pulmonares das principais micoses em pacientes imunocompetentes
author Ferrari, Rodrigo dos Santos
author_facet Ferrari, Rodrigo dos Santos
author_role author
dc.contributor.advisor1.fl_str_mv Santos, José Wellington Alves dos
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/0323220658204980
dc.contributor.referee1.fl_str_mv Gallarreta, Francisco Maximiliano Pancich
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/6610643089938647
dc.contributor.referee2.fl_str_mv Haeffner, Leris Salete Bonfanti
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/4056008693346464
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/4315101164554785
dc.contributor.author.fl_str_mv Ferrari, Rodrigo dos Santos
contributor_str_mv Santos, José Wellington Alves dos
Gallarreta, Francisco Maximiliano Pancich
Haeffner, Leris Salete Bonfanti
dc.subject.por.fl_str_mv Paracoccidioidomicose
Histoplasmose
Criptococose
Tomografia
topic Paracoccidioidomicose
Histoplasmose
Criptococose
Tomografia
Paracoccidioidomycosis (PCM)
Histoplasmosis
Cryptococcosis
Tomography
CNPQ::CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv Paracoccidioidomycosis (PCM)
Histoplasmosis
Cryptococcosis
Tomography
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE
description Introduction: paracoccidioidomycosis (PCM), histoplasmosis and cryptococcosis are mycoses caused by dimorphic fungi which exist as yeasts or spherules in the tissues. The infection occurs when the fungus is inhaled, involving mainly the lungs. Justification: These disorders are relatively common in the immunocompetent population, and are an important cause of radiological abnormalities on chest computed tomography scans (CT / HRCT). Objectives: To identify and describe the frequency of radiological findings of PCM, histoplasmosis and cryptococcosis on CT/HRCT scans of the thorax through the analysis of imaging studies and medical records of immunocompetent patients diagnosed with these pathologies at the University Hospital of Santa Maria (HUSM) from January 2006 to April 2012. Materials and methods: Transversal study which were evaluated CT / HRCT scans of the chest and the medical records of patients hospitalized and/or receiving outpatient treatment in the HUSM between January 2006 to April 2012. Results: The study population was formed by 28 patients, 21 men and 7 women, aged between 18 and 75 years. The PCM was found in 60% of cases and their radiological findings were as: inter / intralobular septal thickening and / or nodules (76,4%), lung parenchymal interstitial thickening and/or architectural distortion (58,8%), bronchial wall thickening and / or ground-glass opacities (52,9%), consolidation and / or parenchymal bands (41.1%), cavitated lesions (35,3%), reversed halo sign (23,5%), areas of cicatricial enfhysema (17,7%) and lung mass (5,9%). Cryptococcosis it was observed: lung nodules and / or cavitated lesions (50,0%), consolidation and / or hilar lymphadenomegaly (37,5%), lung mass (25,0%), pleural effusion, ground-glass opacities and / or mediastinal lymphadenomegaly (12,5%). Histoplasmosis in the most frequent findings were signs of emphysema and / or pulmonary fibrosis (66,6%), bullous areas and / or architectural distortion (66,6%). Conclusion: PCM, histoplasmosis and cryptococcosis are a frequent cause of radiological abnormalities on CT/HRCT scans of the thorax. Therefore, it is important to recognize these findings so that we can include these diseases in the differential diagnosis of pulmonary lesions.
publishDate 2014
dc.date.issued.fl_str_mv 2014-08-08
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