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2007-12-03

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Revista Colombiana de Neumología - 2023

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Caballero, Hugo
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Revista Colombiana de Neumología - 2023
https://creativecommons.org/licenses/by-nc-nd/4.0
Español
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/886
Revista Colombiana de Neumología
Torres, Vanessa
Asociación Colombiana de Neumología y Cirugía de Tórax
application/pdf
Pérez, Carlos
Ojeda, Paulina
19
4
Artículo de revista
Is the case of a 76 year old patient diagnosed with COPD a few years ago, having recurrent episodes in treatment with bronchodilators and steroids. The patient was sent to Clínica Marly with an 80% upper airway obstruction. The treatment initially included laser therapy and biopsies of the obstruction. The therapy was successful and the histological findings were compatible with tracheal histoplasmosis. Thoracic and abdominal CAT Scans were performed without pathological findings. A systematic research for tracheal histoplasmosis was made and there weren’t any specific articles on the subject in world literature. Upper airway histoplasmosis includes lesions in head, neck, larynx and oral cavity in that the host has any case of immunosupression and begins with disseminated disease. Upper airway histoplasmosis produces dysphonia, dyspnea and usually dysphagia. The oral mucous, tongue and larynx are the usual places of presentation of the disease in this location. Nodular disease is present in some structures with or without neck lymph nodes. The goal of treatment is to reduce mortality and complications. B Amphotericin is the first choice drug for lung or disseminated disease or itraconazole for 3 to 6 months even there is not a consensus on the length of the treatment.CONCLUSION: We present one of the very few case reports in world literature of pure tracheal histoplasmosis probably associated with chronic steroids use in upper airway. This is a very unusual complication that must be considered as a differential diagnosis in upper airway obstruction.
Journal article
0121-5426
2007-12-03T00:00:00Z
2538-9513
213
210
2007-12-03T00:00:00Z
2007-12-03
https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/886
https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/886/719
institution ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
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collection Revista Colombiana de Neumología
description_eng Is the case of a 76 year old patient diagnosed with COPD a few years ago, having recurrent episodes in treatment with bronchodilators and steroids. The patient was sent to Clínica Marly with an 80% upper airway obstruction. The treatment initially included laser therapy and biopsies of the obstruction. The therapy was successful and the histological findings were compatible with tracheal histoplasmosis. Thoracic and abdominal CAT Scans were performed without pathological findings. A systematic research for tracheal histoplasmosis was made and there weren’t any specific articles on the subject in world literature. Upper airway histoplasmosis includes lesions in head, neck, larynx and oral cavity in that the host has any case of immunosupression and begins with disseminated disease. Upper airway histoplasmosis produces dysphonia, dyspnea and usually dysphagia. The oral mucous, tongue and larynx are the usual places of presentation of the disease in this location. Nodular disease is present in some structures with or without neck lymph nodes. The goal of treatment is to reduce mortality and complications. B Amphotericin is the first choice drug for lung or disseminated disease or itraconazole for 3 to 6 months even there is not a consensus on the length of the treatment.CONCLUSION: We present one of the very few case reports in world literature of pure tracheal histoplasmosis probably associated with chronic steroids use in upper airway. This is a very unusual complication that must be considered as a differential diagnosis in upper airway obstruction.
author Caballero, Hugo
Torres, Vanessa
Pérez, Carlos
Ojeda, Paulina
spellingShingle Caballero, Hugo
Torres, Vanessa
Pérez, Carlos
Ojeda, Paulina
author_facet Caballero, Hugo
Torres, Vanessa
Pérez, Carlos
Ojeda, Paulina
citationvolume 19
citationissue 4
publisher Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal Revista Colombiana de Neumología
source https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/886
language Español
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Revista Colombiana de Neumología - 2023
https://creativecommons.org/licenses/by-nc-nd/4.0
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url https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/886
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