Mediastinal histoplasmosis: report of the first two Brazilian cases of mediastinal granuloma

Authors

  • Luiz Carlos Severo Universidade Federal do Rio Grande do Sul; Faculdade de Medicina; Departamento de Medicina Interna
  • Antonio Carlos Moreira Lemos Universidade Federal da Bahia; Faculdade de Medicina
  • Heloisa Ramos Lacerda Universidade Federal de Pernambuco; Faculdade de Medicina

Keywords:

Histoplasmosis, Histoplasma capsulatum var. capsulatum, Mediastinal histoplasmosis, Mediastinal granuloma

Abstract

This report documents the first two Brazilian cases of mediastinal granuloma due to histoplasmosis, presenting selected aspects on the diagnosis. Tissue samples revealing histoplasmosis were obtained from each of the patients by mediastinoscopy and thoracotomy. In the second patient, a subcarinal calcified mass eroded into the bronchial tree, leading to secondary bilateral aspiration pneumonitis one week after thoracotomy. Although rare, histoplasmosis should be included in the differential diagnosis of mediastinal granuloma, specially if there are calcifications greater than 10 mm in dimension.

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Published

2005-04-01

Issue

Vol. 47 No. 2 (2005)

Section

Case Report

How to Cite

Severo, L. C., Lemos, A. C. M., & Lacerda, H. R. (2005). Mediastinal histoplasmosis: report of the first two Brazilian cases of mediastinal granuloma . Revista Do Instituto De Medicina Tropical De São Paulo, 47(2), 103-105. https://www.revistas.usp.br/rimtsp/article/view/30895