[Timely diagnosis of disseminated paracoccidioidomycosis in an immunocompetent adult]. / Diagnóstico oportuno de paracoccidioidomicosis diseminada en un adulto inmunocompetente.
Medicina (B Aires)
; 78(3): 199-202, 2018.
Article
em Es
| MEDLINE
| ID: mdl-29940548
ABSTRACT
Paracoccidioidomycosis is endemic in subtropical rainforests of Latin America. Acute/subacute presentations involve an aggressive dissemination throughout the lymphatic system, while chronic forms (more frequent) arise as differential diagnosis for other conditions involving lung, oropharynx, skin, and eventually the brain. We present the case of a man referred for evaluation and treatment of a possible lung tumor with brain metastasis. The finding of multibudded yeasts and the microbiological isolation of a dimorphic fungus identified as Paracoccidioides sp. from a brain biopsy prompted a cardinal change in prognosis and treatment. This case alerts on the importance of considering systemic fungal diseases as differential diagnosis of compatible clinical presentations in patients who had lived in, or visited, endemic areas.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Paracoccidioidomicose
/
Neoplasias Encefálicas
/
Neoplasias Pulmonares
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
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Male
/
Middle aged
Idioma:
Es
Ano de publicação:
2018
Tipo de documento:
Article