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Medullary Paracoccidioidomycosis Treated Successfully with Oral Itraconazole
Almeida, Timóteo A. de L; Mallmann, Adroaldo B; Crusius, Paulo S; Carazzo, Charles A; Crusius, Marcelo U; Biasi, Pedro; Brunet, Matheus P; Espanhol, Rafael; Baldissera, Eduardo F. M; Souza, Wellinton.
Affiliation
  • Almeida, Timóteo A. de L; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Mallmann, Adroaldo B; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Crusius, Paulo S; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Carazzo, Charles A; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Crusius, Marcelo U; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Biasi, Pedro; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Brunet, Matheus P; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Espanhol, Rafael; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Baldissera, Eduardo F. M; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
  • Souza, Wellinton; Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil. Passo Fundo. BR
Arq. bras. neurocir ; 35(4): 352-356, 30/11/2016.
Article in English | LILACS | ID: biblio-911053
Responsible library: BR584.1
ABSTRACT
Paracoccidioidomycosis is the most prevalent endemic mycosis in Latin America, with a great incidence in Brazil. Although a common disease, its medullary form is rare. We present a case report of medullary paracoccidioidomycosis presenting with subacute, progressive, spinal cord symptoms, and with multiple expansive lesions into the cervical and thoracic spinal cord. The patient was treated with itraconazole and showed good clinical and radiologic recovery upon six months of follow-up.
RESUMO
Paracoccidioidomicose é a micose endêmica de maior prevalência na America Latina, com grande incidência no Brasil. Apesar de comum, sua forma medular é rara. Apresentamos um relato de caso de paracoccidioidomicose medular apresentando sintomas subagudos e progressivos na medula, com múltiplas lesões expansivas na medula, cervical e torácica. O paciente foi tratado com itraconazole e apresentou melhora clínica e recuperação radiológica após seis meses.
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Full text: Available Collection: International databases Database: LILACS Main subject: Paracoccidioidomycosis / Bone Marrow Type of study: Risk factors Limits: Adult / Humans / Male Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2016 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil/BR
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Full text: Available Collection: International databases Database: LILACS Main subject: Paracoccidioidomycosis / Bone Marrow Type of study: Risk factors Limits: Adult / Humans / Male Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2016 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil/BR