Disseminated mycosis in a patient with yellow fever
Autops. Case Rep
; 8(3): e2018038, July-Sept. 2018. ilus
Article
in English
| LILACS
| ID: biblio-911892
Responsible library:
BR26.7
ABSTRACT
Disseminated mycosis (DM)with cardiac involvement and shockis an unexpected and severe opportunistic infection in patients with yellow fever. DM can mimic bacterial sepsis and should be considered in the differential diagnosis of causes of systemic inflammatory response syndrome in this group of patients, especially in areas where an outbreak of yellow fever is ongoing. We report the case of a 53-year-old male patient who presented to the emergency department with fever, myalgia, headache, and low back pain. The laboratory investigation revealed a positive molecular test for yellow fever, hepatic injury, and renal failure. During hospitalization, the patient developed hepatic encephalopathy, ascending leukocytosis, and ascites, with signs consistent with peritonitis. On the 11th day of hospitalization, the patient developed atrioventricular block, shock and died. At autopsy, angioinvasive mycosis was evidenced mainly in the heart, lungs, kidneys, and adrenals.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Yellow Fever
/
Invasive Fungal Infections
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Autops. Case Rep
Journal subject:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Year:
2018
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Minas Gerais/BR
/
Hospital Foundation of Minas Gerais/BR
/
Oswaldo Cruz Foundation/BR