Paracoccidioidomicose em paciente com carcinoma do colo uterino

Abstract

This report describes the case of a female patient with paracoccidioidomycosis associated with a stage IIIB cervical carcinoma. Paracoccidioidomycosis in association with a malignant tumor occurs in 0.16% to 14.1% of cases in accordance with different case series. In cases in which the cancer is disseminated, the fungal infection may behave opportunistically. Keywords: Carcinoma; Mycosis; Paracoccidioidomycosis; Uterine cervical neoplasms Resumo: Os autores relatam caso de paciente do sexo feminino com paracoccidioidomicose, associada a carcinoma do colo uterino estádio IIIB. Paracoccidioidomicose, associada à neoplasia, ocorre entre 0,16% a 14,1% segundo diferentes séries de casos. Em casos com neoplasia disseminada a infecção fún-gicas pode apresentar comportamento oportunístico.

Paracoccidioidomycosis in Immunocompromised Patients: A Literature Review

“…Most of the solid cancers are carcinomas (>80%) from the respiratory or digestive tract [42], and are related to the chronic form of PCM and its risk factors, such as male sex, rural workers with a history of smoking and alcohol intake [1,42]. Likewise, among the 36 cases that fulfilled the inclusion criteria (31 from two case series [42,43] and five from isolated case reports [44,45,46,47,48]), 26 (72%) were related to carcinomas of the upper and lower respiratory ( n = 16, 44%) and digestive tracts, mainly the oropharynx and esophagus ( n = 7, 19%). Carcinoma was diagnosed at the same anatomical site of the fungal lesion in twenty-one cases (58%).…”

Cutaneous histoplasmosis disclosing an HIV-infection

“…In this reported case, the mucosal lesion did not present the granulation or hemorrhagic points usually observed in paracoccidioidomycosis, and this favored the hypothesis of histoplasmosis. 8,9 Disseminated histoplasmosis occurs in HIV-infected patients with a CD4 + cell count of < 50/mm 3 , as found in most studies. 1,4 Our patient presented with a CD4 + cell count of 7/mm 3 and an expressive viral load, but besides nonspecific clinical symptoms, his HIV-status was unnoticed until the histoplasmosis diagnosis.…”

Case Report: Paracoccidioidomycosis in Solid Organ Transplantation: Disseminated Disease in a Liver Recipient and Literature Review

“…[11][12][13] Some cases also reported its association with neoplasia and chemotherapy and immunobiological use. [14][15][16][17][18][19][20][21][22] To date, 10 cases of PCM after SOT in adults and one case of PCM after hepatic transplantation in children have been described globally, including the present one (Table 1). [23][24][25][26][27][28][29][30][31] The 11th case of postrenal transplantation PCM was found in an autopsy review, as well as the single case of PCM after lung transplantation in a review of pulmonary infections, both without descriptive data, and therefore, not included in Table 1.…”