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An Bras Dermatol. 2014 Jan-Feb;89(1):150-3. doi: 10.1590/abd1806-4841.20142768.

Extra-pulmonary manifestations of paracoccidioidomycosis associated with acquired immunodeficiency syndrome: a case report.

Author information

1
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Resident in Infectious Diseases at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
2
Universidade Federal do Amazonas, Manaus, Brazil, MD, Dermatologist. Assistant Professor at Universidade Federal do Amazonas. Supervisor of medical residency in Dermatology at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
3
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Resident in Dermatology at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
4
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, Bacteriology Management at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
5
Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Pathologist. Pathological Anatomy Management at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
6
Universidade do Estado do Amazonas, Manaus, Brazil, MD, PhD Infectious Diseases specialist. Adjunct Professor at Universidade do Estado do Amazonas. Supervisor of medical residency in Infectious Diseases at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, (FMT-HVD), Manaus, Brazil.

Abstract

We present a patient with Paracoccidioidomycosis/HIV coinfection which has been investigated because of chronic monoarthritis and mucocutaneous lesions. A biopsy of the synovial membrane and skin revealed structures consistent with Paracoccidioides brasiliensis. At diagnosis, the count of CD4 + T cells was 44 cells/mm3. We emphasize the importance of clinical suspicion of Paracoccidioidomycosis in patients with HIV/AIDS who live in or are from risk areas.

PMID:
24626662
PMCID:
PMC3938368
DOI:
10.1590/abd1806-4841.20142768
[Indexed for MEDLINE]
Free PMC Article

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