The Experts below are selected from a list of 75 Experts worldwide ranked by ideXlab platform
Humberto Camargo - One of the best experts on this subject based on the ideXlab platform.
-
laryngeal manifestations of paracoccidioidomycosis South American Blastomycosis
Archives of Otolaryngology-head & Neck Surgery, 1999Co-Authors: Geraldo Druck Santanna, Marcelo Mauri, Jaime Luis Arrarte, Humberto CamargoAbstract:Objective To report clinical manifestations, diagnosis, and epidemiologic characteristics of laryngeal paracoccidioidomycosis. Design Case series. Settings Tertiary care institutional hospital. Patients We reviewed the hospital records of 7 patients with laryngeal paracoccidioidomycosis diagnosed by histopathological examination. Main Outcome Measure Clinical manifestations of laryngeal paracoccidioidomycosis. Results All patients were men and were middle-aged (range, 43-65 years), and most (86% [6/7]) were farm workers. All 7 patients regularly used tobacco, but only (43% [3/7]) were alcohol users. Clinical manifestations were dysphonia (86% [6/7]), dyspnea (71% [5/7]), dysphagia (43% [3/7]), and cough (29% [2/7]). Laryngeal examination revealed ulcerative lesions with a mulberry-like appearance in 3 patients and vegetative lesions in 4 patients. Many had multiple laryngeal lesions with involvement of the true and false vocal cords, the epiglottis, and the arytenoid and interarytenoid areas. The first diagnostic impression was carcinoma in all patients. Conclusions Laryngeal paracoccidioidomycosis may be a difficult diagnosis for the unsuspecting clinician to make. Examination of the larynx can reveal lesions similar to laryngeal cancer; therefore, diagnosis of carcinoma must be ruled out by histopathological examination or culture of a specimen.
N L Muller - One of the best experts on this subject based on the ideXlab platform.
-
chronic pulmonary paracoccidioidomycosis South American Blastomycosis high resolution ct findings in 41 patients
American Journal of Roentgenology, 1999Co-Authors: Marcelo Buarque De Gusmao Funari, Jorge Kavakama, Maria Aparecida Shikanaiyasuda, L G M Castro, G Bernard, M S Rocha, Giovanni Guido Cerri, N L MullerAbstract:To assess the pulmonary parenchymal findings on high-resolution CT in 41 patients with the chronic form of paracoccidioidomycosis (South American Blastomycosis).The study included 41 consecutive patients in whom chronic paracoccidioidomycosis had been proven. All patients underwent high-resolution CT (1-mm collimation, high-spatial-frequency reconstruction algorithm) at 12 equally spaced intervals through the chest. The images were analyzed by two radiologists, and each final decision was reached by consensus.Thirty-eight (93%) of the 41 patients had CT scans with abnormal findings. The findings included interlobular septal thickening in 36 patients (88%), 1-25 mm diameter nodules in 34 (83%), peribronchovascular interstitial thickening in 32 (78%), centrilobular opacities in 26 (63%), intralobular lines in 24 (59%), ground-glass opacities in 14 (34%), cavitation in seven (17%), air-space consolidation in five (12%), traction bronchiectasis in 34 (83%), and paracicatricial emphysema in 28 (68%). In approx...
A G Camara - One of the best experts on this subject based on the ideXlab platform.
-
South American Blastomycosis ophthalmic and oculomotor nerve lesions
American Journal of Tropical Medicine and Hygiene, 1990Co-Authors: A M Dantas, R Yamane, A G CamaraAbstract:A case of South American Blastomycosis began with an oropharyngeal lesion which was followed by a granulomatous uveitis. The patient was treated with Amphotericin B and showed a clinical regression. Four months later, he developed a right 3rd cranial nerve palsy, aggravating the clinical aspect with a severe generalized involvement of the central nervous system and death. Necropsy showed blastomycotic meningoencephalitis
Geraldo Druck Santanna - One of the best experts on this subject based on the ideXlab platform.
-
laryngeal manifestations of paracoccidioidomycosis South American Blastomycosis
Archives of Otolaryngology-head & Neck Surgery, 1999Co-Authors: Geraldo Druck Santanna, Marcelo Mauri, Jaime Luis Arrarte, Humberto CamargoAbstract:Objective To report clinical manifestations, diagnosis, and epidemiologic characteristics of laryngeal paracoccidioidomycosis. Design Case series. Settings Tertiary care institutional hospital. Patients We reviewed the hospital records of 7 patients with laryngeal paracoccidioidomycosis diagnosed by histopathological examination. Main Outcome Measure Clinical manifestations of laryngeal paracoccidioidomycosis. Results All patients were men and were middle-aged (range, 43-65 years), and most (86% [6/7]) were farm workers. All 7 patients regularly used tobacco, but only (43% [3/7]) were alcohol users. Clinical manifestations were dysphonia (86% [6/7]), dyspnea (71% [5/7]), dysphagia (43% [3/7]), and cough (29% [2/7]). Laryngeal examination revealed ulcerative lesions with a mulberry-like appearance in 3 patients and vegetative lesions in 4 patients. Many had multiple laryngeal lesions with involvement of the true and false vocal cords, the epiglottis, and the arytenoid and interarytenoid areas. The first diagnostic impression was carcinoma in all patients. Conclusions Laryngeal paracoccidioidomycosis may be a difficult diagnosis for the unsuspecting clinician to make. Examination of the larynx can reveal lesions similar to laryngeal cancer; therefore, diagnosis of carcinoma must be ruled out by histopathological examination or culture of a specimen.
G Calero - One of the best experts on this subject based on the ideXlab platform.
-
paracoccidioidomycosis South American Blastomycosis successfully treated with terbinafine first case report
British Journal of Dermatology, 2000Co-Authors: J M Ollague, A M De Zurita, G CaleroAbstract:We describe a 63-year-old man who presented with painful malodorous lesions in the perianal, perineal and scrotal regions. Following definitive diagnosis of paracoccidioidomycosis, he was treated initially with trimethoprim/sulphamethoxazole, but there was no clinical improvement. He then received terbinafine (Lamisil®) 250 mg twice daily for 6 months. There was rapid resolution of all lesions and complete relief of symptoms, without any associated side-effects. The patient remains clinically well and without any evidence of infection 2 years after discontinuation of terbinafine treatment.