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Adiaspiromicose predomina nas zonas de clima temperado, sendo descrita em pulmões de roedores 9 . É uma micose profunda, que raramente afeta seres humanos 6 O quadro iniciou como um "estado gripal", com febre, astenia, hiporexia, mialgias e coriza hialina, tosse não produtiva, dor torácica difusa e dispnéia. Realizou radiografia de tórax e com diagnóstico de "pneumonia" recebeu penicilinoterapia. Após três dias de tratamento, sem melhora clínica, foi encaminhado ao HE-FMTM para esclarecimento diagnóstico. Na internação apresentava bom estado geral, peso 62kg, altura 174cm, índice de massa corporal: 20,6kg/m 2 , corado, acianótico, sem adenopatias ou visceromegalias. A inspeção, palpação e percussão do tórax foram normais. À ausculta, havia redução do murmúrio vesicular no terço médio bilateralmente e estertores subcrepitantes difusos.

Introduction:In this study, we investigated radiological changes in the sigmoid colon in chagasic patients by comparing their colon lengths and caliber with those of non-chagasic living in the same region and non-chagasic living at high altitudes. Methods: A total of 317 individuals were evaluated using clinical, serological and radiological methods and divided into three groups: 1) one hundred and nine non-chagasic individuals from Uberaba, Brazil; 2) sixty-one non-chagasic from Puno, Peru; 3) one hundred forty-seven chagasics examined in Uberaba, being 62 without megacolon (3A), 72 with megacolon (3B) and 13 with doubtful diagnosis of megacolon (3C). Results: In group 2, the sigmoid colon had a signifi cantly larger caliber (p=0.001) and the rectosigmoid colon was longer (p<0.001) than group 1. In subgroup 3A, the sigmoid colon (p<0.001) and rectum (p<0.001) had a signifi cantly larger caliber and the rectosigmoid was longer (p<0.001) than that of the non-chagasic individuals. In subgroup 3B, the rectosigmoid was longer in all patients, and the caliber of the sigmoid was signifi cantly larger than that of subjects in subgroups 3A and 3C (p<0.001). Conclusions: Morphometric analysis confi rms that Chagas disease may increase the caliber and length of the rectosigmoid. Our results suggest that altitude, ethnicity and diet may have infl uenced the size and length of the rectosigmoid of andean patients.

A white, 48-year-old woman, natural from Uberaba-MG, presented herself to hospital. She had a picture of rest dyspnea, fever, productive cough, greenish catarrh and ventilatory-dependent thoracic pain, for 3 days. During investigation, through radiogram and thoracic tomography, it was visualized the presence of dextrocardia and consolidation in low right lobe by bronchopneumonic process. It was opted for hospitalization and antibiotic therapy. Investigation was carried on with tomography of mastoids and paranasal cavities which showed bilateral chronic otomastoiditis and images of chronic sinusopathy allowing the diagnosis of a case of Kartagener Syndrome. Our purpose in this case report is to include new informations for who search about this syndrome.