Skip to main content
Log in

Acute Paracoccidioidomycosis in a 40-Year-Old Man: A Case Report and Literature Review

  • Published:
Mycopathologia Aims and scope Submit manuscript

Abstract

Paracoccidioidomycosis (PCM) is a systemic mycosis that represents an important public health problem in Latin America due to its life-threatening character. It is considered occupational disease of agricultural workers. In this report, we present a rare and serious case of the acute form of the disease in a 40-year-old man with no history of contact with the rural environment. Diagnosis was made through cervical lymph node biopsy, and treatment was performed with antifungal drugs, which produced effective results. A literature review was conducted with discussion of clinical, pathophysiological and therapeutic aspects of PCM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Shikanai-Yasuda MA, TellesFilho FQ, Mendes RP, Colombo AL, Moretti ML. Guideliness in paracoccidioidomycosis. Rev Soc Bras Med Trop. 2006;39(3):297–310. doi:10.1590/S0037-86822006000300017.

    Article  PubMed  Google Scholar 

  2. Bellissimo Rodrigues F, Machado AA, Martinez R. Paracoccidioidomycosis epidemiological features of a 1,000-cases series from a hyperendemic area on the Southeast of Brazil. Am J Trop Med Hyg. 2011;85(3):546–50. doi:10.4269/ajtmh.2011.11-0084.

    Article  PubMed  PubMed Central  Google Scholar 

  3. De Pinho DB, da Costa Neves T, Célem LR, Quintella L, Rodrigues R, Ramos e Silva M. Enlarged, painful cervical and axillary lymph nodes in chronic paracoccidioidomycosis. J Dermatol Case Rep. 2014;8(2):50–4. doi:10.3315/jdcr.2014.1172.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ferreira MS. Paracoccidioidomycosis. Paediatr Respir Rev. 2009;10(4):161–5. doi:10.1016/j.prrv.2009.08.001.

    Article  PubMed  Google Scholar 

  5. Prado FL, Prado R, Gontijo CC, Freitas RM, Pereira MC, Paula IB, Pedroso ER. Lymphoabdominal paracoccidioidomycosis simulating primary neoplasia of the biliary tract. Mycopathologia. 2005;160(1):25–8. doi:10.1007/s11046-005-2670-x.

    Article  PubMed  Google Scholar 

  6. Girardi FM, Scroferneker ML, Gava V, Pruinelli R. Head and neck manifestations of paracoccidioidomycosis: an epidemiological study of 36 cases in Brazil. Mycopathologia. 2012;173(2–3):139–44. doi:10.1007/s11046-011-9488-5.

    Article  CAS  PubMed  Google Scholar 

  7. Marques SA, Cortez DB, Lastoria JC, de Camargo RM, Marques ME. Paracoccidioidomycosis: frequency, morphology, and pathogenesis of tegumentary lesions. An Bras Dermatol. 2007;82(4):411–7. doi:10.1590/S0365-05962007000500003.

    Article  Google Scholar 

  8. Bisinelli JC, Telles FQ, Sobrinho JA, Rapoport A. Stomatological manifestations of paracoccidioidomycosis. Rev Bras Otorrinolaringol. 2001;67(5):683–7. doi:10.1590/S0034-72992001000500013.

    Article  Google Scholar 

  9. Paniago AM, Aguiar JI, Aguiar ES, da Cunha RV, Pereira GR, Londero AT, Wanke B. Paracoccidioidomycosis: a clinical and epidemiological study of 422 cases observed in MatoGrosso do Sul. Rev Soc Bras Med Trop. 2003;36(4):455–9. doi:10.1590/S0037-86822003000400004.

    Article  PubMed  Google Scholar 

  10. Palheta-Neto FX, Moreira JS, Martins AC, Cruz FJ, Gomes ER, Pezzin-Palheta AC. A study of 26 cases of paracoccidioidomycosis evaluated at the Oswaldo Cruz Foundation (FIOCRUZ). Rev Bras Otorrinolaringol. 2003;69(5):622–7. doi:10.1590/S0034-72992003000500006.

    Article  Google Scholar 

  11. de Araujo MS, Sousa SC, Correia D. Evaluation of cytopathologic exam for diagnosis of oral chronic paracoccidioidomycosis. Rev Soc Bras Med Trop. 2003;36(3):427–30. doi:10.1590/S0037-86822003000300020.

    Article  PubMed  Google Scholar 

  12. Marques SA. Paracoccidioidomycosis: epidemiological, clinical, diagnostic and treatment up-dating. An Bras Dermatol. 2013;88(5):700–11. doi:10.1590/abd1806-4841.20132463.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lucas Ferreira Rocha.

Ethics declarations

Conflict of interest

The authors have no funding, financial relationships or conflict of interest to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ferreira Rocha, L., de Araújo Torres, D. Acute Paracoccidioidomycosis in a 40-Year-Old Man: A Case Report and Literature Review. Mycopathologia 182, 1095–1099 (2017). https://doi.org/10.1007/s11046-017-0196-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11046-017-0196-7

Keywords

Navigation