Case contributed by Dr Renan Bastos Leite


Seven months ago, patient started to present pain in the epigastric region and right / left scapular regions, associated with fever, chills, dyspnea and weight loss. At that time, he was hospitalized two times, with resolution of fever. Five days later he started a mucus-purulent yellowish cough. He reports that in 2012 he lived and worked in plantations, having a habit of using grass as toothpick. At that time he presented oral lesions suggestive of fungal lesions. He was treated for paracoccidiomycosis with Itraconazole without completing therapeutic regimen.

Patient Data

Age: 53 years
Gender: Male

Nodular opacities with bilateral random distribution, more evident in the bases.

Case Discussion

Although the imaging features are nonspecific and have broad differentials, the strong epidemiological facts and the clinical presentation favors paracoccidioidomycosis over other conditions.  

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Case information

rID: 53767
Published: 7th Jun 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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