Prostatic paracoccidioidomycosis with a fatal outcome: a case report

Abstract

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.

Pulmonary Paracoccidioidomycosis: A Case Report

“…However, dry cough, fever, weight loss (12), hip pain related to osteomyelitis and pyoarthritis, oral lesions, necrotic fingertip (13), lymphadenomegaly and hepatosplenomegaly (14), and urgency and frequency of nocturia in prostatic paracoccidioidomycosis may be evident (15). Age, use of immunosuppressive medications, sex, and concomitant disease are risk factors for PCM.…”

Técnicas aplicadas para o confinamento de bovinos

“…Figura 6: Silagem de milho Figura 7: Animal com princípio de pneumonia Tabela 1: Exigências em proteína e energia para bovinos, segundo recomendações dos sistemas NRC (1984) e ARC/AFRC (1993).…”

“…TABELA 1 -Exigências em proteína e energia para bovinos, segundo recomendações dos sistemas NRC (1984) e ARC/AFRC (1993).…”

“…Encontram-se as exigências líquidas diárias totais de proteína total (ELPt), sendo estas as exigências líquidas diárias de proteína para mantença, segundo o ARC (1980), mais as exigências líquidas diárias de proteína para ganho de peso (Tabela 3). Os valores são próximos aos preconizados pelo sistema ARC/AFRC (1993), que são muito inferiores aos preconizados pelo sistema NRC (1984).…”