RESUMEN
Relata-se caso de lavrador de 40 anos acometido por adiaspiromicose pulmonar, com diagnóstico etiológico estabelecido mediante biópsia por toracoscopia. Optou-se por tratamento com corticosteróide, sem antifúngicos, tendo o paciente respondido bem, com melhora clínico-radiológica após três semanas do início dos sintomas.
The case of a 40-year-old agricultural worker affected by pulmonary adiaspiromycosis is reported. An etiological diagnosis had been established by means of a biopsy via thoracoscopy. Treatment with corticosteroids without antifungal drugs was chosen, and the patient responded well to this, with improvements in clinical and radiological conditions three weeks after the beginning of the symptoms.
Asunto(s)
Adulto , Humanos , Masculino , Chrysosporium , Glucocorticoides/uso terapéutico , Enfermedades Pulmonares Fúngicas/tratamiento farmacológico , Prednisona/uso terapéutico , Enfermedades Pulmonares Fúngicas/diagnósticoRESUMEN
Relata-se caso de adiaspiromicose causando infiltrado pulmonar retículo-nodular difuso e bilateral, em lavrador de 26 anos. O diagnóstico etiológico foi estabelecido através de biópsia por toracoscopia. Tratado com cetoconazol, o paciente evoluiu bem, retornando às atividades profissionais um mês após a alta.
A case of thoracoscopic lung biopsy proven diffuse human adiaspiromycosis is reported. The patient, a 26-year-old male farm worker presented with a three-week history of fever, sweating, dyspnea and unproductive cough. Radiographic findings were those of granulomatous pulmonary interstitial disease. Treated with ketoconazole he improved very well, resuming work normal activities a month later.