Acute paracoccidioidomycosis with duodenal and cutaneous involvement and obstructive jaundice

Publication date: June 2018
Source:Medical Mycology Case Reports, Volume 20
Author(s): Fred Bernardes Filho, Isabela Sgarbi, Santos Flávia da Silva Domingos, Rafael Cruz Rios Sampaio, Rodolfo Mendes Queiroz, Sílvia Nunes Szente Fonseca, Roderick James Hay, Loan Towersey
Paracoccidioidomycosis (PCM) is the most widespread endemic mycosis in LatinAmerica. If PCM is not diagnosed and treated early and adequately, the endemic fungal infection could result in serious sequelae. We report a case of PCM with duodenal and cutaneous involvement simulating cholangitis that was initially misdiagnosed as a lymphoproliferative disease. Clinicians should consider acute paracoccidioidomycosis in the differential diagnosis of jaundice and/or signs/symptoms of cholangitis developing in young patients from paracoccidioidomycosis endemic regions.



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