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 appear ill. Chronic PCM patients can appear healthy at early stages. Physical examination of patients with juvenile PCM is usually remarkable for lymphadenopathy and hepatosplenomegaly. Adult PCM is characterized by the presence of pulmonary abnormalities and skin lesions.[1]
Physical Examination Acute/Subacute/Juvenile
Appearance of the Patient
Vital Signs
Skin
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Abdomen
Genitourinary
- Lymphadenopathy (inguinal)
Extremities
Physical Examination Chronic/Adult
Appearance of the Patient
Vital Signs
Skin
HEENT[1]
- Cutaneous lesions: Erythematous ulcers (lip, tongue, palate, cheek, nose, larynx)
Neck
- Lymphadenopathy (cervical)
- Lymph node fistulization
Lungs
Abdomen
Genitourinary[2][3]
- Lymphadenopathy (inguinal)
- Scrotal swelling
- May be present in Genital PCM
- Testicle tumor
- May be present in Genital PCM
- Penile ulcers
- May be present in Genital PCM
Extremities
- Osteoarticular pain
- Osteoarticular tumefaction
Neuromuscular[4]
- Muscle weakness
- Positive Romberg's test: in neuroparacoccidioidomycosis
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