Spontaneous pneumothorax in paracoccidioidomycosis patients from an endemic area in Midwestern Brazil

Summary Paracoccidioidomycosis (PCM) is the most important systemic mycosis in Latin America. About 80% of PCM patients are present with its chronic form. The lungs are affected in most patients with the chronic form; however, pleural involvement has rarely been reported. We describe nine cases of P...

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Bibliographic Details
Published in:Mycoses 2017-02, Vol.60 (2), p.124-128
Main Authors: Cabrera, Lucas G. G., Santos, Aline F., Andrade, Ursulla V., Guedes, Carlos Ivan A., Oliveira, Sandra M. V. L., Chang, Marilene R., Mendes, Rinaldo P., Paniago, Anamaria M. M.
Format: Article
Language:English
Subjects:
Adult
Amphotericin B - therapeutic use
Antifungal Agents - therapeutic use
Biopsy
Brazil - epidemiology
Drainage
Dyspnea
Endemic Diseases
Fatal Outcome
Fungal infections
Humans
Lung - microbiology
Lung - pathology
lung mycosis
Male
Middle Aged
Mycosis
Paracoccidioides - drug effects
Paracoccidioides - isolation & purification
Paracoccidioides spp
paracoccidioidomycosis
Paracoccidioidomycosis - diagnosis
Paracoccidioidomycosis - drug therapy
Paracoccidioidomycosis - epidemiology
Paracoccidioidomycosis - microbiology
Pneumothorax
Pneumothorax - diagnostic imaging
Pneumothorax - microbiology
Respiration
Smoking - adverse effects
South American blastomycosis
Trimethoprim, Sulfamethoxazole Drug Combination - therapeutic use
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Summary:Summary Paracoccidioidomycosis (PCM) is the most important systemic mycosis in Latin America. About 80% of PCM patients are present with its chronic form. The lungs are affected in most patients with the chronic form; however, pleural involvement has rarely been reported. We describe nine cases of PCM that presented with lung involvement and spontaneous pneumothorax. All patients, except one whose condition was not investigated, were smokers. PCM was diagnosed during the pneumothorax episode in three patients, and from 3 to 16 years before the pneumothorax episode in six patients. A total of six patients underwent chest drainage and one died as a direct result of the pneumothorax. We suggest that pneumothorax, although rare, should be considered in PCM patients who present with suddenly worsening dyspnoea. PCM should also be investigated in cases of pneumothorax in adult men from mycosis‐endemic areas.
ISSN:0933-7407
1439-0507
DOI:10.1111/myc.12571