ABSTRACT
Paracoccidioidomycosis is the most prevalent endemic mycosis in Latin America, with a great incidence in Brazil. Although a common disease, its medullary form is rare. We present a case report of medullary paracoccidioidomycosis presenting with subacute, progressive, spinal cord symptoms, and with multiple expansive lesions into the cervical and thoracic spinal cord. The patient was treated with itraconazole and showed good clinical and radiologic recovery upon six months of follow-up.
Paracoccidioidomicose é a micose endêmica de maior prevalência na America Latina, com grande incidência no Brasil. Apesar de comum, sua forma medular é rara. Apresentamos um relato de caso de paracoccidioidomicose medular apresentando sintomas subagudos e progressivos na medula, com múltiplas lesões expansivas na medula, cervical e torácica. O paciente foi tratado com itraconazole e apresentou melhora clínica e recuperação radiológica após seis meses.
Subject(s)
Humans , Male , Adult , Paracoccidioidomycosis , Paracoccidioidomycosis/drug therapy , Bone Marrow , ItraconazoleABSTRACT
Hyperstomy syndrome is defined as a dysfuncion of microcirculatory arteriolo-venular flow which stimulates ischemic diseases without arterial occlusion and causes precocious venous backflow. This paper presents a review of hyperstomy syndrome since this entity was first described. It also presents six cases of patients with hyperstomy syndrome who were successfully treated.