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2020-06-21
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OSTEOMYELITIS CAUSED BY PARACOCCIDIOIDES BRASILIENSIS IN A CHILD FROM THE METROPOLITAN AREA OF RIO DE JANEIRO
Nogueira, S. A. et al. | Date Issued: 2001
Author
Nogueira, S. A.
Guedes, A. L.
Wanke, B.
Capella, S.
Rodrigues, K.
Abreu, T. F.
Morais, J. C.
Lambert, J. S.
Affilliation
University Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brazil.
University Federal do Rio de Janeiro. Institute Puericultura e Pediatria Matargão. Rio de Janeiro, RJ, Brazil.
University of Maryland. Institute of Virology. Baltimore, MD, USA.
Hospital Municipal Salgado Filho. Rio de Janeiro, RJ, Brasil.
University Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brazil.
University Federal do Rio de Janeiro. Institute Puericultura e Pediatria Matargão. Rio de Janeiro, RJ, Brazil.
University Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brazil.
University of Maryland. Institute of Virology. Baltimore, MD, USA.
Abstract
The authors describe a case of paracoccidioidomycosis in a 7-year-old girl from the city of Rio de Janeiro who initially presented to her physician with a lesion in her calcaneous which was misdiagnosed and treated as bacterial osteomyelitis. Later, cutaneous manifestations, lymph node enlargement, and hepatosplenomegaly developed and biopsy of the skin and cervical lymph nodes showed the fungus which was also present in the sputum. It is emphasized that Paracoccidioides brasiliensis can be the cause of bone lesions in endemic areas of Latin America and that response to treatment with amphotercin B is good.
Keywords
Osteomyelitis
Paracoccidioides brasiliensis
Child
Rio de Janeiro
 
Publisher
Oxford University Press
Citation
NOGUEIRA, Susie A. et al. Osteomyelitis caused by Paracoccidioides brasiliensis in a child from the metropolitan area of Rio de Janeiro. Journal of Tropical Pediatrics, v. 47, p. 311-315, 2001.
DOI
10.1093/tropej/47.5.311
ISSN
0142-6338
Notes
Bodo Wanke. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta a informação no documento.