Intistute Basic Bioscience, University of Taubaté, Taubaté, SP, Brazil.
Rev Soc Bras Med Trop. 2010 Sep-Oct;43(5):599-601. doi: 10.1590/s0037-86822010000500028.
The type of pulmonary histoplasmosis presents limited lesions to the lungs, with symptoms that are clinically and radiological similar to chronic pulmonary tuberculosis. This paper describes the clinical features of four cases of pulmonary histoplasmosis. Aspects of diagnostic and clinical, epidemiological, laboratory and imaging exams are discussed, in addition to the clinical status of the individuals five years after disease onset. The treatment of choice was oral medication, following which all the patients improved. It is important to understand the clinical status and the difficulties concerning the differential diagnosis of histoplasmosis, to assist the proper indication of cases, thus reducing potential confusion with other diseases.
肺组织胞浆菌病的类型对肺部的损害有限，其症状在临床和影像学上与慢性肺结核相似。本文描述了 4 例肺组织胞浆菌病的临床特征。讨论了诊断和临床、流行病学、实验室和影像学检查等方面，以及疾病发病五年后个体的临床状况。首选的治疗方法是口服药物治疗，所有患者的病情均有所改善。了解组织胞浆菌病的临床状况和鉴别诊断的困难对于正确选择病例非常重要，从而减少与其他疾病的潜在混淆。
