Mixed and disseminated paracoccidioidomycosis after liver transplantation: Case report

Camila Sinkos; Thais Gagno Grillo; Ana Clara Muraro Bonini; Lucas Gonçalves Cardoso; Erika Mayumi Watanabe; Ricardo de Souza Cavalcante; Giovanni Faria Silva; Fabio da Silva Yamashiro; Fernando Gomes Romeiro; Talles Bazeia Lima

Medical Mycology Case Reports (Jun 2021)

Mixed and disseminated paracoccidioidomycosis after liver transplantation: Case report

Camila Sinkos,
Thais Gagno Grillo,
Ana Clara Muraro Bonini,
Lucas Gonçalves Cardoso,
Erika Mayumi Watanabe,
Ricardo de Souza Cavalcante,
Giovanni Faria Silva,
Fabio da Silva Yamashiro,
Fernando Gomes Romeiro,
Talles Bazeia Lima

Affiliations

Camila Sinkos: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Thais Gagno Grillo: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Ana Clara Muraro Bonini: Department of Internal Medicine, Hematology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Lucas Gonçalves Cardoso: Department of Pathology - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Erika Mayumi Watanabe: Department of Tropical Diseases and Diagnostic Imaging - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Ricardo de Souza Cavalcante: Department of Tropical Diseases and Diagnostic Imaging - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Giovanni Faria Silva: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Fabio da Silva Yamashiro: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil
Fernando Gomes Romeiro: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil; Corresponding author.
Talles Bazeia Lima: Department of Internal Medicine, Gastroenterology Division - São Paulo State University (UNESP), Botucatu Medical School, Rubião Júnior S/N, 18618-970, São Paulo, Brazil

Journal volume & issue: Vol. 32
pp. 25 – 29

Abstract

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Paracoccidioidomycosis (PCM) is a systemic granulomatous fungal infection rarely associated with solid organ transplantation. We report the second case of PCM in an adult after liver transplantation. A 47-year-old woman who had undergone liver transplantation was hospitalized for flu-like symptoms and multiple erythematous ulcerated skin papules. There was lymphadenopathy, pulmonary compromise, and quickly progression to septic shock. PCM was confirmed by skin biopsy and serologic tests, and a satisfactory response to amphotericin B was achieved.

Published in Medical Mycology Case Reports

ISSN: 2211-7539 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General); Science: Biology (General)
Website: https://www.journals.elsevier.com/medical-mycology-case-reports/

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