Co-existence of integumentary lesions and lung x-ray abnormalities in patients with paracoccidioidomycosis (PCM)

ABSTRACT : In paracoccidioidomycosis (PCM), the primary lung infection remains silent. In this study, attempts weredone to define the primary target organ by correlating lung radiographic abnormalities with the time course of mucosal/skin lesions concurrently exhibited at diagnosis by 63 patients in...

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Autores:
Restrepo Moreno, Ángela
Tobón Orozco, Ángela María
Agudelo Restrepo, Carlos Andrés
Ochoa Múnera, Juan Eugenio
Rosero, David Santiago
Osorio, Marta Lucía
Cano Restrepo, Luz Elena
Álvarez, Diego Luis
Tipo de recurso:
Article of investigation
Fecha de publicación:
2008
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/20568
Acceso en línea:
http://hdl.handle.net/10495/20568
Palabra clave:
Paracoccidioidomicosis
Paracoccidioidomycosis
Paracoccidioides
Rights
openAccess
License
https://creativecommons.org/licenses/by/2.5/co/
Description
Summary:ABSTRACT : In paracoccidioidomycosis (PCM), the primary lung infection remains silent. In this study, attempts weredone to define the primary target organ by correlating lung radiographic abnormalities with the time course of mucosal/skin lesions concurrently exhibited at diagnosis by 63 patients in whom microscopy and/or isolation ofParacoccidioidesbrasiliensisfrom respiratory secretions had been positive. Mucosal and skin lesions were found in 65.1% and 12.7% ofthe patients, respectively. Odynophagia and dysphagia were present in 38.1% each. All patients had lung interstitialinfiltrates, and 31.7% had also alveolar lesions; fibrosis was recorded in 46% of them. An inverse correlation was shownfor fibrosis and presence of either odynophagia or dysphagia. Cluster analyzes strongly supported two sets of patients:those with mucosal damage, odynophagia/dysphagia, and alveolo-interstitial infiltrates and those with dermal lesions,dyspnea, and lung fibrosis. These groups may represent novel stages in the natural course of PCM.