Mango Ana Luiza Di, Gomes Antônio Carlos Portugal, Hochhegger Bruno, Zanetti Gláucia, Marchiori Edson
Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Medimagem/BP Medicina Diagnóstica, São Paulo, SP, Brazil.
Radiol Bras. 2023 May-Jun;56(3):162-167. doi: 10.1590/0100-3984.2022.0106-en.
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.
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。