A systemic (mainly pulmonary) mycosis of humans and various lower animals caused by fungi of the genus Paecilomyces.
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Though most fungi regarded as opportunistic pathogen but few of them are known to cause diseases such as Saprolegniasis, Aspergiilosis, Scopulariopsis, Paecilomycosis and Peniciilium infection [16].
Though most fungi regarded as opportunistic pathogen but few of them cause diseases such as Saprolegniasis, Aspergillosis, Scopulariopsis, Paecilomycosis and Penicillium infection (Refai et al.,2010).
For the present time, it is increasing the incidence of people of the different ages with conditionally-pathogenic Paecilomyces fungi (early considered to be saprophytic); and the resulting disease is called paecilomycosis. In spite of significant publications regarding the lung diseases caused by these fungus many doctors do not have sufficient knowledge on the features of pathogenesis, clinical manifestations, diagnostics and treatment of this pathology.
Low competence of practitioners regarding diagnosis and treatment of pulmonary form of paecilomycosis makes important to study this pathology, particularly in connection with the changes of ecological situation and the increasing role of Vaecilomyces fungus in the etiology of broncho-pulmonary diseases.
In spite of the solving of the most problems related to pathogenesis, clinical-laboratory diagnostics and therapy of these forms of paecilomycosis, radial diagnosis still remains poorly examined.
Ventilation disorders in the lungs, as a rule, can be defined with sufficient reliability through the use of roentgenological examination; and the roentgenological method appears as principal for radial diagnosis of the broncho-pulmonary paecilomycosis. However, isolated applying of this method leaves outside of the diagnosis process the information about the regional pulmonary blood flow.
Therefore, the modern radionuclide technologies can open new perspectives in solving theoretical and diagnostic issues in broncho-pulmonary paecilomycosis.
Morbidity of people of different ages from this fungi is increasing, and the disease originating due to this agent is called paecilomycosis. Nowadays, in spite of the many challenges associated with the epidemiology and clinic, immunologic diagnosis and therapy of this pathology, radiodiagnosis hitherto remains little explored.
The study discusses significance and opportunities for computer tomography in diagnostics of pulmonary forms of paecilomycosis; enabling to determine the nature and extent of lung lesions, as well as the incidence of the pathological process.
Clinical-laboratory, roentgenologic, mycological and other methods of observations diagnosed broncho-pulmonary paecilomycosis in these patients.
Table 1 shows evaluation of diagnostic possibilities of step-by-step CT for different types of broncho-pulmonary paecilomycosis. The table describes CT semiotics of different types of broncho-pulmonary paecilomycosis and frequency of different signs.
From the table it is evident that in broncho-pulmonary type of paecilomycosis the most frequent characteristic CT-signs are the following: