Disseminated paracoccidioidomycosis associated with lymph node tuberculosis in a non immunocompromised child

IDCases

Anibal Díaz¹  Manuel Pomazongo²  Edison Tunque³  Raúl Montalvo⁴  Miguel Montalvo⁵  Josdan Montalvo⁶ 

[1] Correspondence to: Raúl Montalvo Otivo, Medical Department of Carrion Hospital, 12001 Junín, Peru.;Facultad de Medicina Humana, Universidad Continental, Peru;Hospital Regional Materno Infantil El Carmen, Huancayo, Peru;Universidad Cesar Vallejo, Peru;Universidad Nacional Daniel Alcides Carrión, Cerro de Pasco, Peru;Universidad de Huánuco, Peru;

关键词: Paracoccidioidomycosis;    Tuberculosis;    Amphotericin B;    Acid-alcohol-resistant bacillus;    Itraconazole;   

DOI  :  

来源: DOAJ

【 摘 要 】

The association of paracoccidioidomycosis (PCM) and tuberculosis (TB) produces an uncommon hyperinflammatory syndrome, causing multiorgan dysfunction. TB associated PCM is a rare condition, but it is fatal if not treated. Herein, we present a immunocompetent child who is admitted for fever and painful lymphadenopathy, with evidence of acid-alcohol-resistant bacillus (AARB) in cervical lymph node biopsy, antituberculous treatment was started with partial clinical improvement and is given discharge from hospital. At 3 weeks, he was readmitted by fever, weight loss, dyspnea and a greater number of adenopathies, in the new biopsy multiple yeasts were found compatible with PCM, our patient responded well to the combination of antituberculosis therapy(ATT), corticosteroid, and amphotericin B deoxycholate, presenting clinical improvement and subsequently continued with itraconazole.

【 授权许可】

Unknown