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TROPICAL LUNG - Coggle Diagram

- - - - chicken coops or farm buildings with large accumulations of bird droppings
      - abandoned buildings
      - bird roost sites
      - caves
      - wood lots
      - attic
    - - excavation
      - construction
      - demolition
      - remodeling
      - wood cutting and gathering
      - exploring caves
      - cleaning structures that are encrusted with bird or bat guano
  - - - Acute Infection
        
        asymptomatic or result in mild influenza-like illness
        
        Fever
        
        non productive cough
        
        Chills
        
        chest pain
        
        substernal discomfor
        
        Malaise
        
        weakness
        
        fatigue
        
        myalgias
        
        rheumatologic manifestations
        
        Physical findings
        
        Crackles may be detected on auscultation
        
        Complications
        
        Histoplasmoma
        
        Mediastinal Granuloma
        
        Fibrosis
      - Chronic pulmonary histoplasmosis
        
        cavitary disease
        
        productive coug
        
        dyspnea
        
        weight loss
        
        low-grade feve
        
        Night sweats
        
        chest pain
        
        hemoptysis
        
        rare
  - - - Roentgenographically, patchy infiltrates appear and develop areas of dense consolidation that progress to cavitation. Over months or years, extensive fibrosis, retraction, and areas of compensatory emphysema appear unless effective treatment is given. Enlarged hilar or mediastinal lymph nodes are notably absent
    - - The common roentgenographic features are characterized by a patchy pneumonitis that eventually calcifies and hilar lymphadenopathy. If a heavy exposure has transpired, numerous patches of pneumonitis that calcify may develop, and these produce the so-called buckshot appearance on the chest roent-genogram
- - - - cough
      - expectoration
      - hemoptysis
      - dyspnea
    - - lesions
        
        gingiva
        
        palate
        
        neighboring skin on the lips
      - gastrointestinal mucosa
        
        infiltrative, edematous, ulcerated lesion, and has a granulomatous base, with a blackberry appearance
        
        produce fibrous scarrin
        
        extremely painfu
        
        hinder food intake
      - larynx mucosa
      - pharynx mucosa
    - - Cutaneous lesions
        
        tend to ulcerate
        
        thick well-delimited external border with a granulomatous base
        
        infiltration of the neighboring tissues
    - - clinically detectable hypertrophied lymph nodes
    - - gland hypertrophy with damage to both the cortex and the medulla
        
        Addison’s syndrome
  - - - Interstitial infiltrates, followed by mixed lesions consisting of nodular and alveolar infiltrates that are occasionally confluent, frequently bilateral, sym-metrical, and located preferentially in the central and lower fields
    - - interlobular septal thickening
      - peribronchovascular interstitial thickening
      - centrilobular opacities
      - intralobular lines
      - ground-glass opacities
      - cavities
      - airspace consolidation
- - - - Coccidioides immitis
      - Coccidioides posadasii,
  - - - southwestern United States
        
        Arizona
        
        California
        
        Nevada
        
        New Mexico
        
        Texas
        
        Utah
      - parts of Mexico
      - Central or South America
  - - - nonpruritic fine papular rash
      - erythema nodosum
      - erythema multiforme
    - - fever
      - erythema nodosum
      - arthralgias
    - - skin
        
        superficial maculopapular lesions
        
        keratotic and verrucose ulcers
        
        subcutaneous fluctuant abscesse
      - supraclavicular and cervical lymphadenopathy
      - Joints
        
        typically asymmetrically distributed and are associated with a prominent synovitis and effusion
        
        knee
        
        hands
        
        wrists
        
        feet
        
        ankles
        
        pelvis
      - vertebral infection
      - Coccidioidal meningitis
- - - - S. haematobium
        
        Africa
        
        Middle East
      - S. japonicum
        
        East Asia
      - S. mansoni
        
        África
        
        South America
  - - - pulmonary hypertension
      - cor pulmonale
  - - - Bathing
      - swimming
      - fishing
- - - - Paragonimus westermani
        
        Far East
        
        Korea
        
        Japan
        
        Taiwan
        
        China
        
        Philippines
      - Paragonimus miyazaki
        
        Japan
      - Paragonimus skrjabini
        
        China
      - Paragonimus hueitungensis
      - Paragonimus heterotrema
        
        China
        
        Southeast Asia
      - Paragonimus uterobilateralis
        
        Central and West Africa
      - Paragonimus africanus
      - Paragonimus mexicanus
        
        Central and South America
      - Paragonimus kellicotti
        
        North America
  - - - diarrhea
      - fever
      - chest pain
      - cough
      - urticaria
      - abdominal pain
      - eosinophilia
    - - initial manifestations
        
        Cough productive of brownish sputum with intermittent hemoptysis
      - Later
        
        profuse expectoration
        
        pleuritic chest pain
        
        dyspnea
        
        chronic cough
        
        occasional hemoptysis
    - - Parasite-induced meningitis
        
        seizures
        
        headaches
        
        visual disturbance
        
        motor or sensory deficit