Article information
Abstract
We present two cases of juvenile form of paracoccidioidomycosis (PCM), a systemic mycosis frequently found in rural areas, whose prognosis is poor in children and young adults. They are a 14-year-old boy and a 25-year-old woman, both residents in an urban area in São Paulo – Brazil, without any history of travelling to an endemic area. They have been admitted to the hospital due to fever, weight loss and lymphadenopathy. The diagnosis was confirmed by serologic and histopathologic study. Patients have recovered after therapy with oral itraconazole and were discharged from hospital, maintaining outpatient visits. In this article, the authors discuss the unusual presentation of PCM in an urban area.
Keywords:
juvenile paracoccidioidomycosis
lymphadenopathy
Paracoccidioides brasiliensis
urban area
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References
[1.]
C.S. Lacaz, E. Porto, J.E.C. Martins.
Paracoccidioidomicose.
Micologia Médica,
[2.]
E. Brummer, E. Castañeda, A. Restrepo.
Paracoccidioidomycosis: an update.
Clin Microbiol Revs, 6 (1993), pp. 89-117
[3.]
M.A. Shikanai-Yasuda, F.Q.T. Filho, R.P. Mendes, A.L. Colombo, M.L. Moretti.
Consenso em paracoccidioidomicose.
Rev Soc Bras Med Trop, 39 (2006), pp. 297-310
[4.]
A. Pellegrino, C.H. De Capriles, S. Magaldi, I.M. De Oca, M.E. Ruiz, C. Pérez, S. Mata-Essayag.
Am J Trop Med Hyg, 68 (2003), pp. 301-303
[5.]
N.G. Mota, M.T. Rezkallah-Iwasso, M.T. Peracoli, et al.
Correlation between cell-mediated immunity and clinical forms of paracoccidioidomycosis.
Trans R Soc Pro Med Hyg, 79 (1985), pp. 765-772
[6.]
M. Franco, M.R. Montenegro, R.P. Mendes, S.A. Marques, N.L. Dilon, N.G.S. Mota.
Paracoccidioidomycosis: A recently proposed classification of its clinical forms.
Rev Soc Bras Med Trop, 20 (1987), pp. 129-132
[7.]
A.T. Lodero, A.J.R. Gonçalves, M.L.S. Cruz.
Paracoccidioidomicose disseminada “infanto-juvenil” em adolescentes.
Arq Bras Med, 61 (1987), pp. 5-12
[8.]
E.R.S. Fonseca, P.P.O. Pardal, L.C. Severo.
Paracoccidioidomicose em crianças do Belém do Pará.
Rev Soc Bras Med Trop, 32 (1999), pp. 31-33
[9.]
R.M. Pereira, F. Bucaretchi, E.D. Barison, G. Hessel, A.T. Tresoldi.
Paracoccidioidomycosis in children: Clinical presentation, follow-up and outcome.
Rev Soc Bras Med Trop, 46 (2004), pp. 127-131
[10.]
M.G.S. Nogueira, G.M.Q. Andrade, E. Tonelli.
Clinical evolution of paracoccidioidomycosis in 38 children and teenagers.
Mycopathologia, 161 (2006), pp. 73-81
[11.]
E. Chaib, C.M.C. Oliveira, O.S. Prado.
Obstructive jaundice caused by blastomycosis of the lymph nodes around the common bile duct.
Arq Gastroent, 25 (1988), pp. 198-202
[12.]
A.L.S.S. Andrade.
Paracoccidioidomicose linfático-abdominal – Contribuição ao seu estudo.
Revista de Patologias Tropicais, 12 (1983), pp. 165-256
[13.]
W. Barbosa, A.L.S.S. Andrade.
Hepatic involvement in paracoccidioidomycosis.
Revista de Patologias Tropicais, 12 (1983), pp. 295-305
[14.]
C.S. Lacaz, E. Porto, J.E.C. Martins, E.M. Heins-Vaccari, N.T. Melo.
Paracoccidioidomicose.
Tratado de Micologia Médica Lacaz,
[15.]
A. Restrepo-Moreno.
Ecology of Paracoccidioides brasiliensis.
Paracoccidioidomycosis,
[16.]
A.C.F. Valle, B. Wanke, N. Wanke, T.C. Peixoto, M. Perez.
Tratamento da paracoccidioidomicose: estudo retrospectivo de 500 casos. I-Análise clínica, laboratorial e epidemiológica.
Anais Brasileiros de Dermatologia, 67 (1992), pp. 251-254
[17.]
B. Wanke, A.T. Londero.
Epidemiology and paracoccidioidomycosis infection.
Paracoccidioidomycosis,
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