ABSTRACT
Paracoccidioidomycosis or South American blastomycosis is an endemic disease that occurs predominantly in rural South America, caused by a termo-dimorphic fungus named Paracoccidioides brasiliensis. Its epidemiologic importance relates to its characteristics of transmissibility, susceptibility and morbidity, in addition to its high cost due to prolonged medical monitoring. It has a polymorfims in the description, explained by absent or nonspecific initial symptoms such as night sweats, weight loss or fever, and later symptoms according to its location of involvemente. The objective of this study was to report a case of uncommon presentation of this pathology. The case repot is the autopsy of a 74-year-old, white, female patient with predominant manifestation in the gastrointestinal tract originating from paracoccidioidomycosis, and complicated by one of the gastric ulcer perforation. This is an unusual presentation, and reports of gastric perforation credited to this agent were not found in the literature...
Paracoccidioidomicose ou blastomicose Sul Americana é uma enfermidade endêmica rural que ocorre predominantemente na América Latina, tendo como etiologia o fungo termodimórfico Paracoccidioides brasiliensis. Sua importância epidemiológica está nas características de transmissibilidade, suscetibilidade e morbidade dos casos, além de seu alto custo, devido ao acompanhamento médico prolongado. É uma doença cujos sintomas iniciais são ausentes ou inespecíficos como sudorese noturna, emagrecimento ou febre, diferente dos sintomas tardios, que acontecem conforme sua localização de acometimento, o que justifica o polimorfismo em sua descrição. O objetivo deste estudo foi relatar um caso de apresentação incomum dessa doença. Caso clínico com necrópsia de paciente do gênero feminino, 74 anos, branca, com manifestações clínicas predominantes no trato gastrintestinal provenientes de paracoccidioidomicose complicada pela perfuração de uma das úlceras gástricas. Trata-se de uma apresentação incomum e não foram encontrados relatos na literatura de perfuração de úlcera gástrica creditada a esse agente...
Subject(s)
Humans , Female , Aged , Paracoccidioidomycosis/complications , Paracoccidioidomycosis/diagnosis , Stomach Ulcer/parasitology , Peptic Ulcer Perforation/parasitologyABSTRACT
Strongyloidiasis is a parasitosis caused by the female nematode of the Strongyloides stercoralis. S. stercoralis causes a chronic infection that is asymptomatic in 50% of chronically infected patients, and it can also affect the stomach. Gastric involvement causes symptoms mostly mimicking gastritis. We report herein a case of gastric perforation in a 37-year-old woman, which was thought to be caused by S. stercoralis.
Subject(s)
Peptic Ulcer Perforation/parasitology , Stomach Ulcer/parasitology , Strongyloides stercoralis/isolation & purification , Strongyloidiasis/complications , Abdominal Pain , Adult , Animals , Female , Humans , Peptic Ulcer Perforation/surgery , Stomach Ulcer/surgery , Strongyloidiasis/diagnosis , Strongyloidiasis/surgeryABSTRACT
Aonchotheca putorii is a parasitic nematode of the stomach and small intestines of many wild mammals. Although A putorii has been found in domestic cats in Iowa, it has not been reported to be pathogenic. The parasite caused severe gastric and was associated with a gastric ulcer and secondary anemia in a 10-year-old domestic shorthair cat from Ohio. The source of infection was not determined. Surgical resection of the affected tissue resolved clinical signs. The importance of postoperative administration of an anthelmintic in the resolution of any remaining A putorii is unknown. Ivermectin was given empirically to this cat. It is not known whether, or at what dosage, ivermectin or any other anthelmintic is effective against A putorii.
