ABSTRACT
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.
Subject(s)
Histoplasmosis/pathology , Lung Diseases, Fungal/pathology , Aged , Aspergillus fumigatus/isolation & purification , Biopsy, Needle/methods , Brazil , Chronic Disease , Histoplasma/isolation & purification , Histoplasmosis/diagnostic imaging , Humans , Lung Diseases, Fungal/diagnostic imaging , Male , RadiographyABSTRACT
Seventy-five patients with hemoptysis were treated with bronchial artery embolization (BAE). The procedure was performed with Hexabrix (sodium methylglucamine ioxaglate), Mikaelson catheters, and Gelfoam particles. Angiographic evaluation of the bronchial artery anatomy revealed ten different configurations, which are described. The embolization attempt failed in three cases (4%); eight additional patients (10.7%) were excluded from the series because of inadequate data. In the remaining 64 patients, 41 underwent BAE alone and 23 underwent either chemotherapy or surgery in addition to embolization. Immediate control of hemoptysis was achieved in 49 of 64 patients (76.6%). Long-term control of hemoptysis was achieved in 46 of the 56 patients included in the long-term follow-up (82.1%). Eight of the 64 patients were lost to follow-up, which ranged from one to 47 months (mean 24.8 months). Hemoptysis recurred in 12 of 56 patients (severe in 10, mild in 2) (21.4%). Twelve patients died (21.4%), five of them due to hemoptysis (8.9%). None of the patients who died of hemoptysis had responded to initial BAE. It is concluded that BAE is an effective treatment for immediate control of life-threatening hemoptysis, allowing long-term control of bleeding in the majority of patients.
Subject(s)
Bronchial Arteries , Embolization, Therapeutic/methods , Hemoptysis/therapy , Adult , Aged , Bronchial Arteries/diagnostic imaging , Embolization, Therapeutic/adverse effects , Female , Follow-Up Studies , Hemoptysis/diagnostic imaging , Hemoptysis/drug therapy , Hemoptysis/surgery , Humans , Male , Middle Aged , Radiography , RecurrenceABSTRACT
Relata-se um caso de pneumotorax espontaneo assintomatico em paciente portador de paracoccidioidomise pulmonar progressiva.Revisa-se a literatura pertinente.Comenta-se a importancia das bolhas de enfisema subpleural na sua genese
Subject(s)
Middle Aged , Humans , Male , Paracoccidioidomycosis , PneumothoraxSubject(s)
Foreign Bodies/therapy , Lung , Bronchoscopy/methods , Fiber Optic Technology , Humans , Male , Middle AgedABSTRACT
Foram abreugrafados 31.512 industriarios residentes em Porto Alegre e municipios vizinhos, na unidade fixa de radiologia do SESI, no periodo de 07/78 a 10/79, para fins de emprego visando, fundamentalmente, descobrir os portadores de tuberculose pulmonar. Considerou-se como tuberculosos 44 industriarios (0,14%). Destes, somente 22 eram baciliferos (fontes de infeccao) dando, sob o ponto de vista de saude publica, um rendimento de 0,07%
Subject(s)
Fluoroscopy , Tuberculosis, PulmonaryABSTRACT
A case of primary pulmonary lymph node complex in paracoccidioidomycosis is reported.
