Osteomielite de punho em paciente com paracoccidioidomicose disseminada: uma rara apresentação

Bayerl, Juliana Santos; Oliveira, André Ribeiro Nogueira de; Peçanha, Paulo Mendes; Falqueto, Aloísio

doi:10.1590/s0100-39842012000400013

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“…PCM is a chronic granulomatous disease that typically affects the lungs, skin, bone, mucous membranes and lymph nodes [7]. Transmission occurs through the inhalation of spores.…”

Section: Discussionmentioning

confidence: 99%

Prostatic paracoccidioidomycosis with a fatal outcome: a case report

et al. 2013

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IntroductionParacoccidioidomycosis is a systemic mycosis in Latin America that can affect various organs. Few case reports of paracoccidioidomycosis affecting the prostate are found in the literature.Case presentationWe present the case of a 79-year-old Caucasian man with a six-month history of irritative symptoms of the prostate (urgency, frequency and nocturia) and difficulty initiating urination that progressed to urinary retention and the use of a urinary catheter. The anatomopathological analysis of the transurethral resection of the prostate revealed chronic granulomatous prostatitis of fungal etiology (paracoccidioidomycosis) with extensive necrosis. The patient began treatment with itraconazole at a dose of 100mg/day for six months. Radiography of the thorax revealed bilaterally diffuse nodular reticular interstitial lesions. The patient progressed to respiratory failure and was sent to the intensive care unit, but suffered a cardiopulmonary arrest and was pronounced dead.ConclusionsDue to the high incidence of paracoccidioidomycosis in countries like Brazil, urologists should suspect blastomycosis in all patients with symptoms of lower urinary obstruction with chronic abacterial prostatitis. Considering that paracoccidioidomycosis has the potential to affect various organs, following diagnosis, the treatment must be initiated as soon as possible.

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“…PCM is a chronic granulomatous disease that typically affects the lungs, skin, bone, mucous membranes and lymph nodes [7]. Transmission occurs through the inhalation of spores.…”

Section: Discussionmentioning

confidence: 99%