STUDY JUVENILE PARACOCCIDOIDOMYCOSIS: CASE REPORT
DOI:
https://doi.org/10.47820/recima21.v4i11.4409Keywords:
Paracoccidioidomycosis, Cardiac Complications, Multidisciplinary Treatment.Abstract
Paracoccidioidomycosis is a systemic fungal disease caused by the fungus Paracoccidioides brasiliensis. This fungal infection is more common in Latin America, especially in Brazil, and can affect individuals of all ages, including children and adolescents. The aim of the study was to describe a case of juvenile paracoccidioidomycosis in an acute form in a young male patient admitted to a hospital in Rio Branco - Acre. This is a case report study conducted through the clinical data of a young patient affected by paracoccidioidomycosis. The case involves an 18-year-old male patient with Duchenne muscular dystrophy who presented with lymphadenopathy, fever, weight loss, and diarrhea. After the diagnosis of paracoccidioidomycosis, there was cardiac and pleural involvement. Treatment included Itraconazole, Prednisone, and cardiac intervention. The patient showed improvement after treatment and was referred for outpatient follow- up in the fields of infectious disease, cardiology, neuropediatrics, and physiotherapy. The study underscores the importance of early diagnosis and appropriate treatment of the disease. The fungal infection led to cardiac and pleural complications, necessitating a multidisciplinary approach with cardiac intervention and antifungal treatment. The positive response to treatment emphasizes the need for continuous monitoring and follow-up of patients with complex medical conditions.
Downloads
References
ALMEIDA, Hugo Luciano de et al. Paracoccidioidomicose: perfil epidemiológico, clínico e terapêutico dos pacientes diagnosticados nos serviços de referência do Estado de Mato Grosso (2006-2013). 2014. Dissertação (Mestrado) - Universidade Federal de Mato Grosso, Cuibá, 2014. Disponível em: http://ri.ufmt.br/handle/1/489. Acesso em: out. 2023.
ANDRADE, Ursulla Vilella et al. Adesão ao tratamento de pacientes com paracoccidioidomicose na Região Centro-Oeste do Brasil. Jornal Brasileiro de Pneumologia, v. 45, 2019.
CAVALCANTE, Ricardo de Souza. Comparação do cotrimoxazol com o itraconazol no tratamento da paracoccidioidomicose. 2013. Tese (Doutorado) – UNESP, São Paulo, 2013. Disponível em: https://www.oasisbr.ibict.br/vufind/Record/UNSP_fbf6550db0c38a6ce22e25bc769ee3e0. Acesso em: out. 2023
CORDOVA, Leopoldo A.; TORRES, Jaime. Paracoccidioidomycosis. StatPearls, 2020. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK563188. Acesso em: out. 2023.
COUTINHO, Ziadir Francisco et al. Hospital morbidity due to paracoccidioidomycosis in Brazil (1998–2006). Tropical Medicine & International Health, v. 20, n. 5, p. 673-680, 2015.
DE ARRUDA, José Alcides Almeida et al. A multicentre study of oral paracoccidioidomycosis: Analysis of 320 cases and literature review. Oral diseases, v. 24, n. 8, p. 1492-1502, 2018.
HAHN, Rosane Christine et al. Paracoccidioidomycosis: Current status and future trends. Clinical Microbiology Reviews, v. 35, n. 4, p. e00233- 21, 2022.
JÚNIOR, Elerson Gaetti-Jardim; MONTI, Lira Marcela; GAETTI-JARDIM, Ellen Cristina. Etiologia, epidemiologia e manifestações clínicas da paracoccidioidomicose. Archives of health investigation, v. 5, n. 2, 2016.
MILLINGTON, Maria Adelaide et al. Paracoccidioidomicose: abordagem histórica e perspectivas de implantação da vigilância e controle. Epidemiologia e Serviços de Saúde, v. 27, p. e0500002, 2018.
MONTALVO, Raúl et al. Disseminated paracoccidioidomycosis associated with lymph node tuberculosis in a non immunocompromised child. IDCases, v. 29, p. e01507, 2022.
NOGUEIRA, Maria Gorete dos Santos et al. Aspectos laboratoriais evolutivos de crianças em tratamento da paracoccidioidomicose. Revista da Sociedade Brasileira de Medicina Tropical, v. 39, p. 478-483, 2006.
NOGUEIRA, Maria Gorete dos Santos et al. Paracoccidioidomycosis in children and adolescents. Revista Médica Minas Gerais, v.25, p. 260–268, 2015.
PALMEIRO, Mariana et al. Paracoccidioidomicose–revisão da literatura. Scientia Medica, v. 15, n. 4, p. 274-278, 2005.
PEÇANHA, Paulo Mendes et al. Paracoccidioidomycosis: What we know and what is new in epidemiology, diagnosis, and treatment. Journal of Fungi, v. 8, n. 10, p. 1098, 2022.
SANTOS, Werbena Aguiar dos et al. Associação entre tabagismo e paracoccidioidomicose: um estudo de caso-controle no Estado do Espírito Santo, Brasil. Cadernos de Saúde Pública, v. 19, n. 1, p. 245-253, 2003.
SHIKANAI-YASUDA, Maria Aparecida et al. II consenso brasileiro em paracoccidioidomicose-2017. Epidemiologia e Serviços de Saúde, v. 27, p. e0500001, 2018.
SHIKANAI-YASUDA, Maria Aparecida. Paracoccidioidomycosis treatment. Revista do Instituto de Medicina Tropical de São Paulo, v. 57, p. 31-37, 2015.
THOMPSON, George R. et al. Global guideline for the diagnosis and management of the endemic mycoses: an initiative of the European Confederation of Medical Mycology in cooperation with the International Society for Human and Animal Mycology. The Lancet Infectious Diseases, v. 21, n. 12, p. e364-e374, 2021.
Downloads
Published
License
Copyright (c) 2023 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
