Mediastinal nodal involvement can lead to necrosis, and this is due to paracoccidioidomycosis, given that chronic cavitary histoplasmosis does not usually cause mediastinal adenopathy.
El compromiso ganglionar mediastinal puede presentar necrosis, y lo explicamos por la paracoccidioidomicosis, ya que la histoplasmosis a forma cavitaria crónica no suele dar adenopatías mediastinales.