Histoplasmosis presenting with multiple pulmonary nodules. A case mimicking radiological features of pulmonary metastasis

Author:

Dall Bello Aline Gehlen1,Severo Cecília Bittencourt2,Oliveira Flávio de Mattos2,Hallal Junior Ramon Joaquim3,Hochhergger Bruno4,Severo Luiz Carlos5

Affiliation:

1. Universidade Federal do Rio Grande do Sul (UFRGS), Brazil

2. Irmandade Santa Casa de Misericórdia Porto Alegre (ISCMPA), Brazil

3. Universidade Católica de Pelotas, Brazil

4. Universidade de Ciências Médicas de Porto Alegre, Brazil

5. Irmandade Santa Casa de Misericórdia Porto Alegre (ISCMPA), Brazil; UFRGS, Brazil

Abstract

We present a case of histoplasmosis with multiple pulmonary nodules in a patient with a history of melanoma. This case closely simulated malignancy, including the presence of feeding vessel sign, which occurs in pulmonary metastasis. We emphasize the need to be aware of this infection in areas where histoplasmosis is endemic.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

Reference17 articles.

1. A precocidade diagnóstica do melanoma cutâneo: uma observação no sul do Brasil;Bonfá R;An Bras Dermatol,2011

2. R’Mandell, Douglas, and Bennett's principles and practice of infectious diseases. 7th ed;Deepe GS Jr,2010

3. Pathologic diagnosis of granulomatous lung disease: a review;El-Zammar OA;Histopathology,2007

4. Predictors of occult nodal metastasis in patients with thin melanoma;Faries MB;Arch Surg,2010

5. A population-based validation of the American Joint Committee on Cancer Melanoma Staging System;Gimotty PA;J Clin Oncol,2005

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