Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/197484
Type: Artigo de periódico
Title: Association Between Paracoccidioidomycosis And Tuberculosis: Reality And Misdiagnosis.
Author: Quagliato Júnior, Reynaldo
Grangeia, Tiago de Araújo Guerra
Massucio, Reinaldo Alexandre de Carvalho
De Capitani, Eduardo Mello
Rezende, Sílvio de Moraes
Balthazar, Alípio Barbosa
Abstract: To evaluate the frequency of the real association between paracoccidioidomycosis (PCM) and tuberculosis (TB) as well as the rate of previous TB misdiagnosis in individuals with PCM among the patients treated in the Pulmonology Division of the State University of Campinas Hospital das Clínicas, Campinas, Brazil. A retrospective study of 227 adult patients with PCM (chronic form) treated between 1980 and 2005. Of the 227 patients studied, 36 (15.8%) had been previously treated for TB. However, only 18 (7.9%) presented positive sputum smear microscopy results. The remaining 18 (7.9%) neither presented positive sputum smear microscopy nor showed improvement after receiving specific anti-TB treatment. Although the existence of an association between PCM and TB has been documented in the literature, misdiagnosis is common due to the superimposition of and the similarity between their clinical and radiographic presentations, thereby warranting the need for bacteriological diagnosis before initiating specific treatment.
Subject: Adult
Aged
Antibiotics, Antitubercular
Antifungal Agents
Diagnosis, Differential
Diagnostic Errors
Female
Humans
Male
Middle Aged
Mycobacterium Tuberculosis
Paracoccidioides
Paracoccidioidomycosis
Retrospective Studies
Sputum
Tuberculosis, Pulmonary
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/17906791
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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