Revista da Sociedade Brasileira de Medicina Tropical (May 2023)

Chylothorax and chylous ascites due to juvenile paracoccidioidomycosis: a case report

  • Ana Paula Freitas Bahia dos Santos,
  • Tomás Varella Costa Russo,
  • Beatriz Pascuotte,
  • Luis Felipe Silva Visconde,
  • Adryelle Carolynne Nogueira Luetz,
  • Andrey Biff Sarris,
  • Matheus Dias Girão Rocha,
  • Fernanda Guioti Puga,
  • Gilberto Gambero Gaspar,
  • Valdes Roberto Bollela,
  • Roberto Martinez

DOI
https://doi.org/10.1590/0037-8682-0605-2022
Journal volume & issue
Vol. 56

Abstract

Read online Read online

ABSTRACT Paracoccidioidomycosis (PCM) is a systemic fungal infection caused by Paracoccidioides species. Chylothorax is a rare complication of PCM. A 16-year-old adolescent presented daily fever, lymphadenomegaly, sweating, weight loss, ventilatory-dependent pain, and dysphagia, which confirmed PCM. During treatment, the patient developed chylothorax and chylous ascites. Chronic inflammatory and fibrotic lymphadenopathy may obstruct lymphatic vessels, resulting in the extravasation of lymph into the abdomen or pleural cavities. Chylothorax is one of several complications of PCM and can lead to respiratory insufficiency, even in patients undergoing antifungal therapy.

Keywords