Abstract
Three cases of chronic pulmonary histoplasmosis affecting aged patients with chronic obstructive pulmonary disease are reported. They had a history of recurrent episodes of respiratory infection and presented radiological lung lesions inducing a misdiagnosis of chronic pulmonary tuberculosis of the adults. The diagnosis of histoplasmosis, suggested by the immunodiffusion test and the detection of yeastlike cells in smeared and stained sputum, was confirmed by the isolation and identification of Histoplasma capsulatum var. capsulatum in selective media. The treatment was carried out with amphothericin B and ketoconazole or itraconazole. Clinical, radiologic, mycologic and serologic improvement was obtained in all the patients. However, relapses occurred within a period of 1 to 18 months after the interruption of the treatment. Mycological diagnosis and the difficulties observed in the tretament were discussed. In addition data on the epidemiology of histoplasmosis in the state of Rio de Janeiro, Brazil, were presented.
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21 April 2022
A Correction to this paper has been published: https://doi.org/10.1007/s11046-022-00630-z
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The original online version of this article was revised: The 7th author name is changed from “Alejandro Marcel H. Moreno” to “Alejandro Marcel Hasslocher-Moreno.
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Capone, D., Wanke, B., Monteiro, P.C.F. et al. Chronic pulmonary histoplasmosis in the State of Rio de Janeiro, Brazil. Mycopathologia 145, 75–79 (1999). https://doi.org/10.1023/A:1007016414833
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DOI: https://doi.org/10.1023/A:1007016414833