RESUMEN
UNLABELLED: Paracoccidioidomycosis (PCM) is a systemic disease that in its aftermath form is characterized by clinical manifestations related to anatomic or functional sequelae of organs and systems affected during the period of state. AIM: To describe the anatomical and functional sequelae in patients with treated laryngeal PCM. MATERIALS AND METHODS: Retrospective study. We reviewed the charts from of 49 male patients, aged between 30 to 60 years, diagnosed with laryngeal PCM during the period of 1999 to 2004. In all patients the diagnosis of PCM was confirmed by demonstration of the fungus in sputum, cytological or histopathological examination and being followed up by the Infectious and Parasitic Diseases Department. RESULTS: The vocal folds were the most affected laryngeal structure, being affected in 67% of the patients. The epiglottis and the aryepiglottic folds were affected in 55% and 53% of the cases, respectively. Vestibular folds were changed in 46% of the patients. In 40% of the cases there were changes in the arytenoids. During phonation, 28% of the patients showed limited movement of the vocal folds, unilateral vocal fold paralysis was found in 4%. 24% of the cases had glottic lumen reduction and 4% showed glottic stenosis, 2% needed tracheostomy. CONCLUSION: Sequela lesions of the laryngeal PCM are extensive and cause functional limitations in most cases.
Asunto(s)
Enfermedades de la Laringe/etiología , Paracoccidioidomicosis/complicaciones , Adulto , Estudios Transversales , Femenino , Humanos , Enfermedades de la Laringe/diagnóstico , Enfermedades de la Laringe/microbiología , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Trastornos de la Voz/etiología , Trastornos de la Voz/microbiologíaRESUMEN
A Paracoccidioidomicose (PCM) é uma doença sistêmica que em sua forma sequelar se caracteriza por manifestações clínicas relacionadas às alterações anatômicas ou funcionais de órgãos e sistemas comprometidos no período de estado. OBJETIVO: Descrever as alterações anatômicas e funcionais laríngeas sequelares em pacientes com paracoccidioidomicose. MATERIAL E MÉTODOS: Estudo retrospectivo, sendo avaliados 49 pacientes do sexo masculino, na faixa etária de 30 a 60 anos, entre 1999 a 2004, com diagnóstico de PCM em acompanhamento pela disciplina de Moléstias Infecciosas e Parasitárias, confirmado pela demonstração do fungo em escarro, exame citológico ou histopatológico. RESULTADOS: As pregas vocais foram a estrutura laríngea mais afetada, em 67 por cento dos pacientes verificaram-se alterações. A epiglote estava acometida em 55 por cento dos casos. As pregas ariepiglóticas tinham modificações em 53 por cento dos pacientes. As pregas vestibulares estavam alteradas em 46 por cento dos casos. Em 40 por cento dos casos verificaram-se alterações em aritenoides. Na fonação, 28 por cento tinham limitação ao movimento das cordas vocais, paresia unilateral ocorreu em 4 por cento casos. Em 24 por cento havia restrição da luz supraglótica e 4 por cento tinham estenose glótica, sendo que 2 por cento precisaram de traqueotomia. CONCLUSÃO: As lesões sequelares na laringe devido à infecção pelo P. brasilienses são extensas e causam restrições funcionais na maioria dos casos.
Paracoccidioidomycosis (PCM) is a systemic disease that in its aftermath form is characterized by clinical manifestations related to anatomic or functional sequelae of organs and systems affected during the period of state. AIM: To describe the anatomical and functional sequelae in patients with treated laryngeal PCM. MATERIALS AND METHODS: Retrospective study. We reviewed the charts from of 49 male patients, aged between 30 to 60 years, diagnosed with laryngeal PCM during the period of 1999 to 2004. In all patients the diagnosis of PCM was confirmed by demonstration of the fungus in sputum, cytological or histopathological examination and being followed up by the Infectious and Parasitic Diseases Department. RESULTS: The vocal folds were the most affected laryngeal structure, being affected in 67 percent of the patients. The epiglottis and the aryepiglottic folds were affected in 55 percent and 53 percent of the cases, respectively. Vestibular folds were changed in 46 percent of the patients. In 40 percent of the cases there were changes in the arytenoids. During phonation, 28 percent of the patients showed limited movement of the vocal folds, unilateral vocal fold paralysis was found in 4 percent. 24 percent of the cases had glottic lumen reduction and 4 percent showed glottic stenosis, 2 percent needed tracheostomy. CONCLUSION: Sequela lesions of the laryngeal PCM are extensive and cause functional limitations in most cases.