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ENLARGED, PAINFUL CERVICAL AND AXILLARY LYMPH NODES IN CHRONIC PARACOCCIDIOIDOMYCOSIS
Pinho, Débora Braga de et al. | Date Issued: 2014
Author
Pinho, Débora Braga de
Neves, Thaís da Costa
Célem, Lívia Ribeiro
Quintella, Leonardo
Rodrigues, Rosângela
Ramos-e-Silva, Marcia
Affilliation
Federal University of Rio de Janeiro. University Hospital. Sector of Dermatology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. University Hospital. Sector of Dermatology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. University Hospital. Sector of Dermatology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. University Hospital. Sector of Pathology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. University Hospital. Sector of Dermatology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. University Hospital. Sector of Dermatology. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. University Hospital. School of Medicine. Rio de Janeiro, RJ, Brazil.
Abstract
Background: Paracoccidioidomycosis is an important medical and social problem mainly in rural areas of Brazil, because of the high incidence of the diseases, its long clinical evolution, frequent recurrences and sequels leading to anatomical and functional incapacities. Main observation: We present a 73-year-old patient with paracoccidioidomycosis showing significant lymph node manifestations, which are only common in children and teenagers. Conclusions: Paracoccidioidomycosis may have a long incubation period, and it can be diagnosed outside of the endemic regions, where it was acquired. Thus, all dermatologists should maintain a high index of suspicion, especially in unusual cases of extensive lymph node enlargement in the elderly patients.
Keywords
Itraconazole
Lymph node
Lymphadenopathy
Mucous membranes
Mycosis
Ulcer
 
Citation
PINHO, Débora Braga de et al. Enlarged, painful cervical and axillary lymph nodes in chronic paracoccidioidomycosis. Journal of Dermatological Case Reports, v. 2, p. 50-54, 2014.
DOI
10.3315/jdcr.2014.1172
Notes
Leonardo Quintella. 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.