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Diagnóstico oportuno de paracoccidioidomicosis diseminada en un adulto inmunocompetente / Timely diagnosis of disseminated paracoccidioidomycosis in an immunocompetent adult
Anon.
  • Anon; s.af
Medicina (B.Aires) ; 78(3): 199-202, jun. 2018. ilus
Article in Spanish | LILACS | ID: biblio-954978
RESUMEN
La paracoccidioidomicosis es endémica en bosques húmedos subtropicales de América Latina. En sus formas agudas/subagudas se disemina agresivamente por el sistema linfoganglionar, pero en sus formas crónicas (más frecuentes) se presenta como diagnóstico diferencial de otras enfermedades que comprometen pulmón, orofaringe, piel y eventualmente cerebro. Presentamos el caso de un hombre con diagnóstico presuntivo de cáncer de pulmón con metástasis cerebrales. El hallazgo de levaduras multibrotadas y el posterior desarrollo de un hongo dimorfo identificado como Paracoccidioides sp. a partir de la biopsia de cerebro resultó en un cambio cardinal en el pronóstico y la terapéutica. Este caso resalta la importancia de considerar las micosis sistémicas en el diagnóstico diferencial de cuadros clínicos compatibles en personas que hayan habitado o transitado áreas endémicas.
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.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Paracoccidioidomycosis / Brain Neoplasms / Lung Neoplasms Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Language: Spanish Journal: Medicina (B.Aires) Journal subject: Medicine Year: 2018 Type: Article

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Full text: Available Index: LILACS (Americas) Main subject: Paracoccidioidomycosis / Brain Neoplasms / Lung Neoplasms Type of study: Diagnostic study / Prognostic study Limits: Humans / Male Language: Spanish Journal: Medicina (B.Aires) Journal subject: Medicine Year: 2018 Type: Article