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....

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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/961984
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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.
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language English
publishDate 2010-01-01
publisher Wiley
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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
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