title: Pleural effusion an unusual feature of paracoccidioidomycosis: report of two new cases with a systematic review of the literature.
abstract: Paracoccidioidomycosis (PCM) is an endemic disease restricted geographically to Latin America. Brazil accounts for about 80 % of the reported cases, and lungs are most frequently affected. A suggestive radiograph of PCM may only be seen late in the course of the disease. At the beginning, it mimics tuberculosis. On the other hand, pleural effusion on rare occasions has been reported in PCM. For this reason, we report two cases with such uncommon manifestation. Our first patient presented pleural effusion probably caused by PCM (a previously unreported cause of lung mass accompanied by effusion); the second with proved pleural effusion due to PCM. A systematic review of the literature was done.
authors: Mycology Laboratory, Hospital Santa Rita, Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Annes Dias, Porto Alegre, RS, Brazil.
authors: Cecília Bittencourt
authors: CB
authors: Severo
authors: Aline Gehlen
authors: AG
authors: Dall Bello
authors: Flávio de Mattos
authors: Fde M
authors: Oliveira
authors: Luciana Silva
authors: LS
authors: Guazzelli
authors: Rogério
authors: R
authors: Tregnago
authors: Marlene
authors: M
authors: Haas
authors: Bruno
authors: B
authors: Hochhegger
authors: Luiz Carlos
authors: LC
authors: Severo
mesh_terms: D000368:Aged; D001938:Brazil; D006801:Humans; D008297:Male; D008875:Middle Aged; D010229:Paracoccidioidomycosis / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D010996:Pleural Effusion / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology