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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2015
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.
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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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