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肺组织胞浆菌病的计算机断层扫描表现：图文并茂的文章。

Computed tomography findings of pulmonary histoplasmosis: pictorial essay.

作者信息

Mango Ana Luiza Di, Gomes Antônio Carlos Portugal, Hochhegger Bruno, Zanetti Gláucia, Marchiori Edson

机构信息

Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

Medimagem/BP Medicina Diagnóstica, São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2023 May-Jun;56(3):162-167. doi: 10.1590/0100-3984.2022.0106-en.

DOI:10.1590/0100-3984.2022.0106-en
PMID:37564080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10411766/
Abstract

Endemic systemic mycoses are prevalent in specific geographic areas of the world and are responsible for high rates of morbidity and mortality in the populations of such areas, as well as in immigrants and travelers returning from endemic regions. Pulmonary histoplasmosis is an infection caused by , a dimorphic fungus. This infection has a worldwide distribution, being endemic in Brazil. Histoplasmosis can affect the lungs, and its diagnosis and management remain challenging, especially in non-endemic areas. Therefore, recognition of the various radiological manifestations of pulmonary histoplasmosis, together with the clinical and epidemiological history of the patient, is essential to narrowing the differential diagnosis. This essay discusses the main computed tomography findings of pulmonary histoplasmosis.

摘要

地方性系统性真菌病在世界特定地理区域流行，导致这些地区以及来自流行地区的移民和旅行者的高发病率和死亡率。肺组织胞浆菌病是由一种双相真菌引起的感染。这种感染在全球范围内分布，在巴西为地方性疾病。组织胞浆菌病可累及肺部，其诊断和治疗仍然具有挑战性，尤其是在非流行地区。因此，认识肺组织胞浆菌病的各种放射学表现以及患者的临床和流行病学病史，对于缩小鉴别诊断范围至关重要。本文讨论肺组织胞浆菌病的主要计算机断层扫描表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/6def7e804b14/rb-56-03-0162-g13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/bbac78720848/rb-56-03-0162-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/917afb7b2ad8/rb-56-03-0162-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/3444b5a188a6/rb-56-03-0162-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/cd88ca2e8663/rb-56-03-0162-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/6f20094d1f9d/rb-56-03-0162-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/3e692214b4fe/rb-56-03-0162-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/611ab10f2a6d/rb-56-03-0162-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/0af3101aa312/rb-56-03-0162-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/9cbe7f1b8e3c/rb-56-03-0162-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/a239de5ca851/rb-56-03-0162-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/884f20dbab75/rb-56-03-0162-g11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/88635b1fa9bd/rb-56-03-0162-g12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/6def7e804b14/rb-56-03-0162-g13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/bbac78720848/rb-56-03-0162-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/917afb7b2ad8/rb-56-03-0162-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/3444b5a188a6/rb-56-03-0162-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/cd88ca2e8663/rb-56-03-0162-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/6f20094d1f9d/rb-56-03-0162-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/3e692214b4fe/rb-56-03-0162-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/611ab10f2a6d/rb-56-03-0162-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/0af3101aa312/rb-56-03-0162-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/9cbe7f1b8e3c/rb-56-03-0162-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/a239de5ca851/rb-56-03-0162-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/884f20dbab75/rb-56-03-0162-g11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/88635b1fa9bd/rb-56-03-0162-g12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc9/10411766/6def7e804b14/rb-56-03-0162-g13.jpg

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本文引用的文献

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J Fungi (Basel). 2022 Sep 22;8(10):993. doi: 10.3390/jof8100993.
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Endemic Fungi Presenting as Community-Acquired Pneumonia: A Review.地方性真菌致社区获得性肺炎：综述。
Semin Respir Crit Care Med. 2020 Aug;41(4):522-537. doi: 10.1055/s-0040-1702194. Epub 2020 Jul 6.
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The occurrence of histoplasmosis in Brazil: A systematic review.巴西组织胞浆菌病的发生：系统评价。
Int J Infect Dis. 2019 Sep;86:147-156. doi: 10.1016/j.ijid.2019.07.009. Epub 2019 Jul 19.
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Endemic pulmonary fungal diseases in immunocompetent patients: an emphasis on thoracic imaging.免疫功能正常患者的地方性肺部真菌病：胸部影像学重点。
Expert Rev Respir Med. 2019 Mar;13(3):263-277. doi: 10.1080/17476348.2019.1571914. Epub 2019 Jan 31.
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Tomographic assessment of thoracic fungal diseases: a pattern and signs approach.胸部真菌病的断层扫描评估：基于模式和征象的方法。
Radiol Bras. 2018 Sep-Oct;51(5):313-321. doi: 10.1590/0100-3984.2017.0223.
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Epidemiology of Histoplasmosis Outbreaks, United States, 1938-2013.美国1938 - 2013年组织胞浆菌病疫情的流行病学
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Endemic mycoses: overlooked causes of community acquired pneumonia.地方性真菌病：被忽视的社区获得性肺炎病因。
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