Adad S J, Machado M E, Batista F C
Faculdade de Medicina do Triângulo Minerio, Uberaba, MG, Brasil.
Rev Soc Bras Med Trop. 1996 Sep-Oct;29(5):491-6. doi: 10.1590/s0037-86821996000500013.
Lungs and broncho-pulmonary lymph nodes were studied from 127 sequential adult autopsies done in Uberaba, MG, Brazil through the years 1992 and 1993. Calcified lung nodules and/or calcified lymph nodes were found in 39 (30.7%) cases. For 27 (69.2%) out of those 39 autopsies, fungi morphologically compatible with Histoplasma capsulatum were found within those calcified structures. Fite-Faraco stain for acid-fast bacilli was negative for all cases. It is concluded that the majority of calcified pulmonary nodes and calcified regional lymph nodes found at autopsies in Uberaba are related to infection with H. capsulatum. These findings raise the possibility for this fungal disease to be endemic in Uberaba. Such information might be relevant to the diagnosis of this systemic mycosis.
对1992年至1993年期间在巴西米纳斯吉拉斯州乌贝拉巴市进行的127例连续成人尸检的肺和支气管肺淋巴结进行了研究。在39例（30.7%）病例中发现了钙化的肺结节和/或钙化的淋巴结。在这39例尸检中的27例（69.2%）中，在这些钙化结构中发现了形态上与荚膜组织胞浆菌相符的真菌。所有病例的抗酸杆菌Fite-Faraco染色均为阴性。得出的结论是，在乌贝拉巴市尸检中发现的大多数钙化肺结节和钙化区域淋巴结与荚膜组织胞浆菌感染有关。这些发现增加了这种真菌病在乌贝拉巴市为地方病的可能性。这些信息可能与这种系统性真菌病的诊断有关。
