Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/32940
Title: Disseminated mycosis in a patient with yellow fever
Authors: Maciel, Gustavo Vieira Rodrigues
Tavares, Marcelo Combat de Faria
Pereira, Leonardo Soares
Silva, Guilherme Lima Castro
Oliveira, Neimy Ramos de
Paulino Júnior, Eduardo
Xavier, Marcelo Antonio Pascoal
Affilliation: Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil.
Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil.
Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil.
Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil / Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Anatomia Patológica. Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil / Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Anatomia Patológica. Belo Horizonte, MG, Brazil/Fundação Oswaldo Cruz. Instituto René Rachou. Grupo de Pesquisa em Imunologia e Doenças Virais. Belo Horizonte, MG, Brazil.
Abstract: Disseminated mycosis (DM)-with cardiac involvement and shock-is an unexpected and severe opportunistic infection in patients with yellow fever. DM can mimic bacterial sepsis and should be considered in the differential diagnosis of causes of systemic inflammatory response syndrome in this group of patients, especially in areas where an outbreak of yellow fever is ongoing. We report the case of a 53-year-old male patient who presented to the emergency department with fever, myalgia, headache, and low back pain. The laboratory investigation revealed a positive molecular test for yellow fever, hepatic injury, and renal failure. During hospitalization, the patient developed hepatic encephalopathy, ascending leukocytosis, and ascites, with signs consistent with peritonitis. On the 11th day of hospitalization, the patient developed atrioventricular block, shock and died. At autopsy, angioinvasive mycosis was evidenced mainly in the heart, lungs, kidneys, and adrenals.
Keywords: Autopsy
Invasive Fungal Infections
Mycosis
Yellow Fever
keywords: Autopsia
Infecção por fungos
Micoses
Febre Amarela
Issue Date: 2018
Publisher: Hospital Universitário, Universidade de São Paulo
Citation: MACIEL, Gustavo Vieira Rodrigues et al. Disseminated mycosis in a patient with yellow fever. Autops CaseReports, v. 8, n. 3, p. 1-8, 2018
DOI: 10.4322/acr.2018.038
ISSN: 2236-1960
Copyright: restricted access
Appears in Collections:MG - IRR - Artigos de Periódicos

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