Paracoccidioidomycosis physical examination
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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, and chronic PMC patients can appear healthy at early stages. Physical examination of patients with juvenile PMC is usually remarkable for node swelling, hepatomegaly, and esplenomegaly. 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
- Weight loss
Vital Signs
- Fever
Skin
- Pallor
- Jaundice
- Cutaneous lesions
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Abdomen
- Hepatomegaly
- Splenomegaly
- Abdominal pain
- Lymphadenopathy
Genitourinary
- Lymphadenopathy (inguinal)
Physical Examination Chronic/Adult
Appearance of the Patient
- Weight loss
Vital Signs
- Fever
Skin
- Pallor
- Cutaneous lesions
HEENT
- Cutaneous lesions: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx) [1]
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Lungs
- Velcro crackles: Fibrosis
Abdomen
- Abdominal pain
- Lymphadenopathy
Genitourinary
- Lymphadenopathy (inguinal)
- Scotal swelling: Genital PMC
- Testicle tumor: Genital PMC
- Penile ulcers: Genital PMC [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