Paracoccidioidomycosis case series with and without central nervous system involvement

Revista da Sociedade Brasileira de Medicina Tropical

Vinicius Sousa Pietra Pedroso¹  Ana Claudia Lyon¹  Stanley Almeida Araújo¹  Juliana Márcia Ribeiro Veloso¹  Enio Roberto Pietra Pedroso¹  Antônio Lucio Teixeira¹ 

[1],Universidade Federal de Minas Gerais Faculdade de Medicina Programa de Pós-Graduação em Infectologia e Medicina TropicalBelo Horizonte MG

关键词: Paracoccidioidomycosis;    Neuroparacoccidioidomycosis;    Epidemiology;    Case series;    Paracoccidioidomicose;    Neuroparacoccidioidomicose;    Epidemiologia;    Série de casos;   

DOI  :  10.1590/S0037-86822012000500009

来源: SciELO

【 摘 要 】

INTRODUCTION: Paracoccidioidomycosis (PCM) is the most important systemic mycosis in South America. Central nervous system involvement is potentially fatal and can occur in 12.5% of cases. This paper aims to contribute to the literature describing eight cases of neuroparacoccidioidomycosis (NPMC) and compare their characteristics with patients without neurological involvement, to identify unique characteristics of NPCM. METHODS: A cohort of 213 PCM cases was evaluated at the Infectious Diseases Clinic of the University Hospital, Federal University of Minas Gerais, Brazil, from October 1976 to August 2008. Epidemiological, clinical, laboratory, therapeutic and follow-up data were registered. RESULTS: Eight patients presented NPCM. The observed NPCM prevalence was 3.8%. One patient presented the subacute form of PCM and the other seven presented the chronic form of the disease. The parenchymatous form of NPCM occurred in all patients. 60% of the patients who proceeded from the north/ northeast region of Minas Gerais State developed NPCM. The neurological involvement of a mother and her son was observed. NPCM patients exhibited demographical and clinical profiles similar to what is described in the literature. When NPCM cases were compared to PCM patients, there were differences in relation to origin and positive PCM family history. CONCLUSIONS: The results corroborate the clinical view that the neurological findings are extremely important in the evaluation of PCM patients. Despite the limitations of this study, the differences in relation to patient's origins and family history point to the need of further studies to determine the susceptibility factors involved in the neurological compromise.

【 授权许可】

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