Paracoccidioidomycosis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with [[Acute (medical)|acute]] paracoccidioidomycosis usually have an ill appearing. [[Chronic (medical)|Chronic]] PMC patients can appear healthy at early stages. Physical examination of patients with juvenile PMC is usually remarkable for [[Lymphadenopathy|lymph node swelling]], [[hepatomegaly]], and [[splenomegaly]]. The presence of pulmonary abnormalities and [[skin lesions]] on physical examination is suggestive of adult PMC. <ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref> | Patients with [[Acute (medical)|acute]] paracoccidioidomycosis usually have an ill appearing. [[Chronic (medical)|Chronic]] PMC patients can appear healthy at early stages. Physical examination of patients with juvenile PMC is usually remarkable for [[Lymphadenopathy|lymph node swelling]], [[hepatomegaly]], and [[splenomegaly]]. The presence of pulmonary abnormalities and [[skin lesions]] on physical examination is suggestive of adult PMC.<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref> | ||
==Physical Examination Acute/Subacute/Juvenile== | ==Physical Examination Acute/Subacute/Juvenile== | ||
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===HEENT=== | ===HEENT=== | ||
*[[Skin lesions|Cutaneous lesions]]: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx) <ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref> | *[[Skin lesions|Cutaneous lesions]]: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx)<ref name="a">Vargas J, Vargas R. Paracoccidioidomicosis. ''Rev. enferm. infecc. trop. ''2009;1(1):49-56</ref> | ||
===Neck=== | ===Neck=== | ||
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*[[Scrotal swelling]]: Genital PCM | *[[Scrotal swelling]]: Genital PCM | ||
*Testicle tumor: Genital PCM | *Testicle tumor: Genital PCM | ||
*Penile ulcers: Genital PCM <ref name="g">Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. ''Arch. Argent. Dermatol. ''2015;65(2):54-56</ref> <ref name="pmid10742725">{{cite journal| author=Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT| title=Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature. | journal=Rev Inst Med Trop Sao Paulo | year= 2000 | volume= 42 | issue= 1 | pages= 38-40 | pmid=10742725 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10742725 }} </ref> | *Penile ulcers: Genital PCM<ref name="g">Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. ''Arch. Argent. Dermatol. ''2015;65(2):54-56</ref><ref name="pmid10742725">{{cite journal| author=Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT| title=Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature. | journal=Rev Inst Med Trop Sao Paulo | year= 2000 | volume= 42 | issue= 1 | pages= 38-40 | pmid=10742725 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10742725 }} </ref> | ||
===Extremities=== | ===Extremities=== | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Muscle weakness | *Muscle weakness | ||
*Positive [[Romberg's test]]: in neuroparacoccidioidomycosis <ref name="h">Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. ''Rev Soc Bras Med Trop.''2011;44(1):22-25</ref> | *Positive [[Romberg's test]]: in neuroparacoccidioidomycosis<ref name="h">Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. ''Rev Soc Bras Med Trop.''2011;44(1):22-25</ref> | ||
==References== | ==References== | ||
Revision as of 02:33, 23 January 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Danitza Lukac
Overview
Patients with acute paracoccidioidomycosis usually have an ill appearing. Chronic PMC patients can appear healthy at early stages. Physical examination of patients with juvenile PMC is usually remarkable for lymph node swelling, hepatomegaly, and splenomegaly. The presence of pulmonary abnormalities and skin lesions on physical examination is suggestive of adult PMC.[1]
Physical Examination Acute/Subacute/Juvenile
Appearance of the Patient
Vital Signs
Skin
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Abdomen
Genitourinary
- Lymphadenopathy (inguinal)
Physical Examination Chronic/Adult
Appearance of the Patient
Vital Signs
Skin
HEENT
- Cutaneous lesions: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx)[1]
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Lungs
Abdomen
Genitourinary
- Lymphadenopathy (inguinal)
- Scrotal swelling: Genital PCM
- Testicle tumor: Genital PCM
- Penile ulcers: Genital PCM[2][3]
Extremities
- Osteoarticular pain
- Osteoarticular tumefaction
Neuromuscular
- Muscle weakness
- Positive Romberg's test: in neuroparacoccidioidomycosis[4]
References
- ↑ 1.0 1.1 Vargas J, Vargas R. Paracoccidioidomicosis. Rev. enferm. infecc. trop. 2009;1(1):49-56
- ↑ Vignolles M, Melo V, Paniagua B, Giménez M, Piccoli L. Paracoccidioidomicosis genital: localización infrecuente. Arch. Argent. Dermatol. 2015;65(2):54-56
- ↑ Severo LC, Kauer CL, Oliveira Fd, Rigatti RA, Hartmann AA, Londero AT (2000). "Paracoccidioidomycosis of the male genital tract. Report of eleven cases and a review of Brazilian literature". Rev Inst Med Trop Sao Paulo. 42 (1): 38–40. PMID 10742725.
- ↑ Francesconi F, Da Silva MT, Costa RL, Francesconi VA, Carregal E, Talhari S, Valle AC.. PLong-term outcome of neuroparacoccidioidomycosis treatment. Rev Soc Bras Med Trop.2011;44(1):22-25