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Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura
CONTEXT: Paracoccidioidomycosis is a systemic form of mycosis that spreads hematogenously, secondarily to reactivation of lung infection or infection at another site or to new exposure to the causative agent. Few cases of bone involvement have been reported in the literature and involvement of the s...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Associação Paulista de Medicina - APM
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496604/ https://www.ncbi.nlm.nih.gov/pubmed/27355801 http://dx.doi.org/10.1590/1516-3180.2015.02691801 |
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author | Alvarenga, José Alexandre Lopes da Silva Martins, Délio Eulálio Kanas, Michel Elizeche, Hugo Gustavo Kunzle Dell'Aquila, Adriana Macêdo Fernandes, Eloy De Avila Wajchenberg, Marcelo Puertas, Eduardo Barros |
author_facet | Alvarenga, José Alexandre Lopes da Silva Martins, Délio Eulálio Kanas, Michel Elizeche, Hugo Gustavo Kunzle Dell'Aquila, Adriana Macêdo Fernandes, Eloy De Avila Wajchenberg, Marcelo Puertas, Eduardo Barros |
author_sort | Alvarenga, José Alexandre Lopes da Silva |
collection | PubMed |
description | CONTEXT: Paracoccidioidomycosis is a systemic form of mycosis that spreads hematogenously, secondarily to reactivation of lung infection or infection at another site or to new exposure to the causative agent. Few cases of bone involvement have been reported in the literature and involvement of the spine is extremely rare. CASE REPORT: We describe a case of a 68-year-old male patient with spondylodiscitis at the levels L4-L5 caused by presence of the fungus Paracoccidioides brasiliensis, which was diagnosed through percutaneous biopsy. The patient was treated with sulfamethoxazole and trimethoprim for 36 months, with complete resolution of the symptoms. CONCLUSION: Spondylodiscitis caused by the fungus Paracoccidioides brasiliensis is uncommon. However, in patients with chronic low-back pain who live or used to live in endemic regions, this infection should be considered as a possible differential diagnosis. |
format | Online Article Text |
id | pubmed-10496604 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Associação Paulista de Medicina - APM |
record_format | MEDLINE/PubMed |
spelling | pubmed-104966042023-09-13 Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura Alvarenga, José Alexandre Lopes da Silva Martins, Délio Eulálio Kanas, Michel Elizeche, Hugo Gustavo Kunzle Dell'Aquila, Adriana Macêdo Fernandes, Eloy De Avila Wajchenberg, Marcelo Puertas, Eduardo Barros Sao Paulo Med J Case Report CONTEXT: Paracoccidioidomycosis is a systemic form of mycosis that spreads hematogenously, secondarily to reactivation of lung infection or infection at another site or to new exposure to the causative agent. Few cases of bone involvement have been reported in the literature and involvement of the spine is extremely rare. CASE REPORT: We describe a case of a 68-year-old male patient with spondylodiscitis at the levels L4-L5 caused by presence of the fungus Paracoccidioides brasiliensis, which was diagnosed through percutaneous biopsy. The patient was treated with sulfamethoxazole and trimethoprim for 36 months, with complete resolution of the symptoms. CONCLUSION: Spondylodiscitis caused by the fungus Paracoccidioides brasiliensis is uncommon. However, in patients with chronic low-back pain who live or used to live in endemic regions, this infection should be considered as a possible differential diagnosis. Associação Paulista de Medicina - APM 2015-04-14 /pmc/articles/PMC10496604/ /pubmed/27355801 http://dx.doi.org/10.1590/1516-3180.2015.02691801 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license. |
spellingShingle | Case Report Alvarenga, José Alexandre Lopes da Silva Martins, Délio Eulálio Kanas, Michel Elizeche, Hugo Gustavo Kunzle Dell'Aquila, Adriana Macêdo Fernandes, Eloy De Avila Wajchenberg, Marcelo Puertas, Eduardo Barros Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title | Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title_full | Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title_fullStr | Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title_full_unstemmed | Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title_short | Paracoccidioidomycosis in the spine: case report and review of the literature: Paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
title_sort | paracoccidioidomycosis in the spine: case report and review of the literature: paracoccidioidomicose na coluna vertebral: relato de caso e revisão da literatura |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496604/ https://www.ncbi.nlm.nih.gov/pubmed/27355801 http://dx.doi.org/10.1590/1516-3180.2015.02691801 |
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