| Author | Maciel, Gustavo Vieira Rodrigues | |
| Author | Tavares, Marcelo Combat de Faria | |
| Author | Pereira, Leonardo Soares | |
| Author | Silva, Guilherme Lima Castro | |
| Author | Oliveira, Neimy Ramos de | |
| Author | Paulino Júnior, Eduardo | |
| Author | Xavier, Marcelo Antonio Pascoal | |
| Access date | 2019-05-06T12:42:25Z | |
| Available date | 2019-05-06T12:42:25Z | |
| Document date | 2018 | |
| 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 | pt_BR |
| ISSN | 2236-1960 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/32940 | |
| Language | eng | pt_BR |
| Publisher | Hospital Universitário, Universidade de São Paulo | pt_BR |
| Rights | restricted access | pt_BR |
| Subject in Portuguese | Autopsia | pt_BR |
| Subject in Portuguese | Infecção por fungos | pt_BR |
| Subject in Portuguese | Micoses | pt_BR |
| Subject in Portuguese | Febre Amarela | pt_BR |
| Title | Disseminated mycosis in a patient with yellow fever | pt_BR |
| Type | Article | |
| DOI | 10.4322/acr.2018.038 | |
| 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. | pt_BR |
| Affilliation | Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil. | pt_BR |
| Affilliation | Universidade Federal de Minas Gerais. Companhia Brasileira de Serviços Hospitalares. Hospital das Clinicas. Laboratório de Anatomia Patológica. Belo Horizonte, MG, Brazil. | pt_BR |
| Affilliation | Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil. | pt_BR |
| Affilliation | Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil. | pt_BR |
| Affilliation | Fundação Hospitalar de Minas Gerais. Hospital Eduardo de Menezes. Belo Horizonte, MG, Brazil. | pt_BR |
| 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. Faculdade de Medicina. Departamento de Anatomia Patológica. Belo Horizonte, MG, Brazil. | pt_BR |
| 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. 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. | pt_BR |
| Subject | Autopsy | pt_BR |
| Subject | Invasive Fungal Infections | pt_BR |
| Subject | Mycosis | pt_BR |
| Subject | Yellow Fever | pt_BR |
| Embargo date | 2025-01-01 | |
