Histoplasmosis chest x ray: Difference between revisions

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{{Histoplasmosis}}
{{Histoplasmosis}}


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{{CMG}} {{AE}} {{SSK}}, {{AKI}}


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==Overview==
==Overview==
[[Chest X-ray|Chest X-Ray]] in patients with pulmonary [[histoplasmosis]] demonstrate [[hilar lymphadenopathy]] and occasionally pulmonary nodules.


==Chest X Ray==
==Chest X Ray==
*Most patients with histoplasmosis (up to 70%) are thought to have normal chest radiographs.<ref name=Silberberg_2007>{{cite web | title = Radiology Teaching Files: Case 224856 (Histoplasmosis) | author = Silberberg P | url = http://www.mypacs.net/cases/HISTOPLASMOSIS-224856.html}}</ref>
*Most patients with [[histoplasmosis]] (up to 70%) are thought to have normal chest radiographs.<ref name=Silberberg_2007>{{cite web | title = Radiology Teaching Files: Case 224856 (Histoplasmosis) | author = Silberberg P | url = http://www.mypacs.net/cases/HISTOPLASMOSIS-224856.html}}</ref>
*Where there are findings these can be non-specific to a range of infectious or inflammatory disorders and histoplasmosis is considered in the differential if the patient is known to have travelled in endemic regions.
*Acute [[histoplasmosis]] may be associated with airspace shadowing with [[Consolidation (medicine)|consolidation]] involving multiple lung segments or lobes similar to bacterial [[pneumonia]].
*The particular imaging features are related to the timeline of presentation and the patient's ability to mount an immune response.
*[[Chest radiographs]] may also demonstrate enlarged [[Hilar lymphadenopathy|hilar]] and [[mediastinal]] [[Lymph node|lymph nodes]]. <ref name="pmid17223625">{{cite journal| author=Kauffman CA| title=Histoplasmosis: a clinical and laboratory update. | journal=Clin Microbiol Rev | year= 2007 | volume= 20 | issue= 1 | pages= 115-32 | pmid=17223625 | doi=10.1128/CMR.00027-06 | pmc=PMC1797635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17223625  }} </ref><ref name="pmid28406413">{{cite journal| author=Barthes N, Morin F, Pommier de Santi V, Briolant S| title=Lung nodule in French Guiana in a immunocompetent patient. | journal=Med Sante Trop | year= 2017 | volume= 27 | issue= 1 | pages= 26-28 | pmid=28406413 | doi=10.1684/mst.2017.0652 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28406413  }} </ref><ref name="pmid28379418">{{cite journal| author=Sharma S, Singh P, Sahu KK, Rajwanshi A, Malhotra P, Naseem S| title=Histoplasmosis in Pleural Effusion in a 23-Year-Old Man With Mixed-Phenotype Acute Leukemia. | journal=Lab Med | year= 2017 | volume=  | issue=  | pages=  | pmid=28379418 | doi=10.1093/labmed/lmx021 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28379418  }} </ref>
*Acute histoplasmosis may be associated with airspace shadowing with consolidation involving multiple lung segments or lobes similar to bacterial pneumonia
*[[Pleural effusions]] are also possible, but uncommon.<ref name=radiop>Thoracic histoplasmosis. Radiopaedia.org. Available at: http://radiopaedia.org/articles/thoracic-histoplasmosis-1. Accessed February 2, 2016.</ref>
*Pleural effusions are alo possible, but uncommon.<ref name=radiop>Thoracic histoplasmosis. Radiopaedia.org. Available at: http://radiopaedia.org/articles/thoracic-histoplasmosis-1. Accessed February 2, 2016.</ref>
*Patients with chronic [[histoplasmosis]] may present with pulmonary nodules.<ref name="pmid17223625">{{cite journal| author=Kauffman CA| title=Histoplasmosis: a clinical and laboratory update. | journal=Clin Microbiol Rev | year= 2007 | volume= 20 | issue= 1 | pages= 115-32 | pmid=17223625 | doi=10.1128/CMR.00027-06 | pmc=PMC1797635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17223625  }} </ref>


==References==
==References==
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[[Category:Fungal diseases]]
[[Category:Fungal diseases]]
[[Category:Rat carried diseases]]
[[Category:Rat carried diseases]]
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Pulmonology]]
[[Category:Gastroenterology]]

Latest revision as of 22:11, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Serge Korjian M.D., Aravind Kuchkuntla, M.B.B.S[2]

Overview

Chest X-Ray in patients with pulmonary histoplasmosis demonstrate hilar lymphadenopathy and occasionally pulmonary nodules.

Chest X Ray

References

  1. Silberberg P. "Radiology Teaching Files: Case 224856 (Histoplasmosis)".
  2. 2.0 2.1 Kauffman CA (2007). "Histoplasmosis: a clinical and laboratory update". Clin Microbiol Rev. 20 (1): 115–32. doi:10.1128/CMR.00027-06. PMC 1797635. PMID 17223625.
  3. Barthes N, Morin F, Pommier de Santi V, Briolant S (2017). "Lung nodule in French Guiana in a immunocompetent patient". Med Sante Trop. 27 (1): 26–28. doi:10.1684/mst.2017.0652. PMID 28406413.
  4. Sharma S, Singh P, Sahu KK, Rajwanshi A, Malhotra P, Naseem S (2017). "Histoplasmosis in Pleural Effusion in a 23-Year-Old Man With Mixed-Phenotype Acute Leukemia". Lab Med. doi:10.1093/labmed/lmx021. PMID 28379418.
  5. Thoracic histoplasmosis. Radiopaedia.org. Available at: http://radiopaedia.org/articles/thoracic-histoplasmosis-1. Accessed February 2, 2016.