Mixed and disseminated paracoccidioidomycosis after liver transplantation: Case report

Author(s)

Sinkos, Camila ^[1] ; Grillo, Thais Gagno ^[1] ; Bonini, Ana Clara Muraro ^[2] ; Cardoso, Lucas Gonsalves ^[3] ; Watanabe, Erika Mayumi ^[4] ; Cavalcante, Ricardo de Souza ^[4] ; Silva, Giovanni Faria ^[1] ; Yamashiro, Fabio da Silva ^[1] ; Romeiro, Fernando Gomes ^[1] ; Lima, Talles Bazeia ^[1]

Affiliation

^[1] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Internal Med, Gastroenterol Div, Rubiao Jr S-N, BR-18618970 Sao Paulo - Brazil

^[2] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Internal Med, Hematol Div, Rubiao Jr S-N, BR-18618970 Sao Paulo - Brazil

^[3] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Pathol, Rubiao Jr S-N, BR-18618970 Sao Paulo - Brazil

^[4] Sao Paulo State Univ UNESP, Botucatu Med Sch, Dept Trop Dis & Diagnost Imaging, Rubiao Jr S-N, BR-18618970 Sao Paulo - Brazil

• Document type: Journal article
• Source: MEDICAL MYCOLOGY CASE REPORTS; v. 32, p. 25-29, JUN 2021.
• Web of Science Citations: 0

Abstract

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. (AU)

• FAPESP's process: 17/25592-9 - Objective tumoral response, safety profile and survival rates of patients with liver cirrhosis and hepatocellular carcinoma of intermediate stage submitted to Radioembolization with 131I-Lipiodol versus Transarterial Chemoembolization
• Grantee: Fernando Gomes Romeiro
• Support Opportunities: Regular Research Grants