Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings
We describe the case of a 45-year-old male with pulmonary paracoccidioidomycosis and spontaneous pneumothorax. The patient presented to the hospital with sudden and intense chest pain accompanied by dyspnea and had a six-month history of dry cough, weight loss, and progressive dyspnea on exertion....
Saved in:
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2010-01-01
|
Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2010/961984 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832562622950539264 |
---|---|
author | Mariana Leite Pereira Edson Marchiori Gláucia Zanetti Guilherme Abdalla Nina Ventura Carolina Pesce Lamas Constantino Viviane Brandão Pedro Martins Rodrigo Canellas Antonio Muccillo Romulo Varella de Oliveira |
author_facet | Mariana Leite Pereira Edson Marchiori Gláucia Zanetti Guilherme Abdalla Nina Ventura Carolina Pesce Lamas Constantino Viviane Brandão Pedro Martins Rodrigo Canellas Antonio Muccillo Romulo Varella de Oliveira |
author_sort | Mariana Leite Pereira |
collection | DOAJ |
description | We describe the case of a 45-year-old male with pulmonary paracoccidioidomycosis and spontaneous pneumothorax. The patient presented to the hospital with sudden and intense chest pain accompanied by dyspnea and had a six-month history of dry cough, weight loss, and progressive dyspnea on exertion. Chest X-ray showed a small right pneumothorax, bilateral nonhomogeneous opacities, and emphysematous areas in the lung base. Chest computed tomography showed consolidation in both lungs, with architectural distortion, nodules, interlobular septal thickening, and emphysema, in addition to the right pneumothorax. A lung biopsy revealed yeast consistent with Paracoccidioides brasiliensis. No drainage was needed, and the lung was re-expanded. The patient was treated with antifungal drugs, showed mild improvement, and was referred to outpatient care. |
format | Article |
id | doaj-art-98e1d8e8ef004f5fa96ca0b8c5e579d7 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2010-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-98e1d8e8ef004f5fa96ca0b8c5e579d72025-02-03T01:22:15ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/961984961984Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging FindingsMariana Leite Pereira0Edson Marchiori1Gláucia Zanetti2Guilherme Abdalla3Nina Ventura4Carolina Pesce Lamas Constantino5Viviane Brandão6Pedro Martins7Rodrigo Canellas8Antonio Muccillo9Romulo Varella de Oliveira10Department of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilDepartment of Radiology, Rio de Janeiro Federal University, CEP 21941.913 Rio de Janeiro, BrazilWe describe the case of a 45-year-old male with pulmonary paracoccidioidomycosis and spontaneous pneumothorax. The patient presented to the hospital with sudden and intense chest pain accompanied by dyspnea and had a six-month history of dry cough, weight loss, and progressive dyspnea on exertion. Chest X-ray showed a small right pneumothorax, bilateral nonhomogeneous opacities, and emphysematous areas in the lung base. Chest computed tomography showed consolidation in both lungs, with architectural distortion, nodules, interlobular septal thickening, and emphysema, in addition to the right pneumothorax. A lung biopsy revealed yeast consistent with Paracoccidioides brasiliensis. No drainage was needed, and the lung was re-expanded. The patient was treated with antifungal drugs, showed mild improvement, and was referred to outpatient care.http://dx.doi.org/10.1155/2010/961984 |
spellingShingle | Mariana Leite Pereira Edson Marchiori Gláucia Zanetti Guilherme Abdalla Nina Ventura Carolina Pesce Lamas Constantino Viviane Brandão Pedro Martins Rodrigo Canellas Antonio Muccillo Romulo Varella de Oliveira Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings Case Reports in Medicine |
title | Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings |
title_full | Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings |
title_fullStr | Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings |
title_full_unstemmed | Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings |
title_short | Spontaneous Pneumothorax as an Atypical Presentation of Pulmonary Paracoccidioidomycosis: A Case Report with Emphasis on the Imaging Findings |
title_sort | spontaneous pneumothorax as an atypical presentation of pulmonary paracoccidioidomycosis a case report with emphasis on the imaging findings |
url | http://dx.doi.org/10.1155/2010/961984 |
work_keys_str_mv | AT marianaleitepereira spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT edsonmarchiori spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT glauciazanetti spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT guilhermeabdalla spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT ninaventura spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT carolinapescelamasconstantino spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT vivianebrandao spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT pedromartins spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT rodrigocanellas spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT antoniomuccillo spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings AT romulovarelladeoliveira spontaneouspneumothoraxasanatypicalpresentationofpulmonaryparacoccidioidomycosisacasereportwithemphasisontheimagingfindings |