Paracoccidioidomicose do sistema nervoso central

Lambertucci, José Roberto; Lana-Peixoto, Marco Aurélio; Pitella, José Eymard Homem

doi:10.1590/s0037-86822001000400016

Cited by 9 publications

(3 citation statements)

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“…Even as the meningea of NPCM lesion is considered exclusively rare, studies reveal meningea lesion extension at 42.9% when done by CT. In all cases, the study highlights the occurrence of lung lesions detectable on CT.[10] In literature, the majority of NPCM cases mention the cases of NPCM where the first diagnosis was cancer of the primary central nervous system[5] or metastatic,[2] similar to the case reported in this paper. In the other cases cited, there was a large proportion of the cases were associated with the pulmonary form of the disease.…”

Section: Discussionsupporting

confidence: 62%

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Pseudotumoral neuroparacoccidioidomycosis of the posterior fossa: A case report and review of the literature

Yamashita

et al. 2017

Surg Neurol Int

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Background:Paracoccidioidomycosis is a systemic mycosis of significant importance in some Latin American countries. The widespread use of neuroimaging methods has shown that involvement of the central nervous system was more frequent than previously reported. The most common form of occurrence of neuroparacoccidioidomycosis is the pseudotumoral one. The authors report a case of pseudotumoral neuroparacoccidioidomycosis localized in the posterior fossa.Case Description:A 49-year-old single man, rural worker, born and raised in Laranjal Paulista-SP, was admitted to the hospital with 3 months history of bilateral occipital headache every day. Along with a history of active smoking and previous use of alcohol, the patient reported personal history of mild occipitotemporal injury 3 months ago. The patient was submitted to computed tomography in a 16-row multidetector scanner, which revealed a nodular hypodense lesion with a ring-enhancement and associated perilesional edema in the left cerebellar hemisphere. Radiological workup was initiated to investigate the eventual primary neoplastic site.Conclusion:The analysis of the lipid peak by spectroscopy of proton magnetic resonance may indicate the neurological involvement by paracoccidioidomycosis, notably in patients with concomitant risk and pulmonary involvement signals.

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Section: Discussionsupporting

confidence: 62%

“…In the other cases cited, there was a large proportion of the cases were associated with the pulmonary form of the disease. [25]…”

Section: Discussionmentioning

confidence: 99%

Pseudotumoral neuroparacoccidioidomycosis of the posterior fossa: A case report and review of the literature

Yamashita

et al. 2017

Surg Neurol Int

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“…The 18 reports left provided 44 cases. 1,4,16,17,23,[25][26][27][28][29][30][31][32][33][34][35][36][37] The information available were categorized and the results are in ►Table 1.…”

Section: Discussionmentioning

confidence: 99%

Neuroparacoccidioidomycosis: Case Report and Literature Review

Morais¹,

Georgeto

Haddad

et al. 2018

Arq Bras Neurocir

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Introduction Paracoccidioidomycosis (PCM) is a systemic mycosis caused by the fungus Paracoccidioides brasiliensis, and it can compromise the central nervous system (CNS) in 10-27% of all cases. Case Report A 31-year-old man presented to the Emergency Department with headache, left-sided weakness, clonus at the ankle and a positive Babinski sign. Head computed tomography (CT) and magnetic resonance imaging (MRI) scans showed a 5.1 Â 3.8 cm lobulated lesion with areas of liquefaction in the right centrum semiovale. Discussion Central nervous system PCM can mimic a brain tumor, and most cases are diagnosed by biopsy of the lesion. The treatment includes antibiotics, but some cases require surgery. Conclusion Due to high morbimortality rates, the diagnosis must be considered, and early treatment started in patients who live in rural regions endemic for PCM when a ring-enhancing mass associated with perilesional edema is observed on MRI scans.

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Pseudotumoral Neuroparacoccidioidomycosis: One Case Report

Santos

Xavier²,

Cortes³

et al. 2008

Mycopathologia

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Neuroparacoccidioidomycosis is the central nervous system involvement by Paracoccidioides brasiliensis, a condition that may be underdiagnosed and has been scarcely reported. We describe a case of neuroparacoccidioidomycosis in a diabetic male with antecedent of heavy cigarette smoking and alcohol abuse. Thirty years before, he lived in the Amazon area and exerted rural activities in more recent years. The patient's main complaints were headache, visual deficit, hemiparesis, and weight loss. Imaging studies detected changes in the lungs and right adrenal gland, in addition to brain lesions. Paracoccidioides brasiliensis was found in tissue samples collected by the lung and brain biopsies. The patient is under ambulatory surveillance and in use of trimethoprim-sulfamethoxazole.

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Paracoccidioidomicose do sistema nervoso central

Cited by 9 publications

References 0 publications

Pseudotumoral neuroparacoccidioidomycosis of the posterior fossa: A case report and review of the literature

Pseudotumoral neuroparacoccidioidomycosis of the posterior fossa: A case report and review of the literature

Neuroparacoccidioidomycosis: Case Report and Literature Review

Pseudotumoral Neuroparacoccidioidomycosis: One Case Report

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