title: Clinical and evolutionary characteristics of four patients with pulmonary histoplasmosis reported in the Paraíba Paulista Valley region.
abstract: The type of pulmonary histoplasmosis presents limited lesions to the lungs, with symptoms that are clinically and radiological similar to chronic pulmonary tuberculosis. This paper describes the clinical features of four cases of pulmonary histoplasmosis. Aspects of diagnostic and clinical, epidemiological, laboratory and imaging exams are discussed, in addition to the clinical status of the individuals five years after disease onset. The treatment of choice was oral medication, following which all the patients improved. It is important to understand the clinical status and the difficulties concerning the differential diagnosis of histoplasmosis, to assist the proper indication of cases, thus reducing potential confusion with other diseases.
authors.affiliation: Intistute Basic Bioscience, University of Taubaté, Taubaté, SP, Brazil. consultoriomedicord@yahoo.com.br
authors.forename: Maria Stella Amorim da Costa
authors.initials: MS
authors.lastname: Zöllner
authors.forename: Karla Mayra Pinto E Carvalho
authors.initials: KM
authors.lastname: Rezende
authors.forename: Simone
authors.initials: S
authors.lastname: Birman
authors.forename: Chelna Paolichi Ferro
authors.initials: CP
authors.lastname: Elias
authors.forename: Emília Ângela Loschiavo
authors.initials: EÂ
authors.lastname: Arisawa
authors.forename: Maria Angela Barguil Digigov Vilella
authors.initials: MA
authors.lastname: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D055815:Young Adult