Paracoccidioidomycosis: an unusual presentation in a young girl disclosing an unnoted HIV-infection
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Data
2010-02-01
Autores
Marques, Silvio Alencar [UNESP]
Camargo, Rosangela M. P. [UNESP]
Abbade, Luciana Patrícia Fernandes [UNESP]
Fortaleza, Carlos Magno Castelo Branco [UNESP]
Marques, Mariângela Esther Alencar [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Taylor & Francis Ltd
Resumo
The association of paracoccidioidomycosis with AIDS is apparently less frequent than expected. The authors present an unusual case of paracoccidioidomycosis in a 13-year-old female student which was later found to be the first opportunistic infection in the course of the patient's HIV-infection. The clinical presentation followed an accidental incised wound on the palmar region initially described as a 'sporotrichotic-chancre'. After good response under sulfamethoxazole-trimethoprin, the patient relapsed and presented an associated oral candidiasis. HIV-infection was documented and additional investigation showed CD4(+) T-cells=22/mm(3), CD8(+)=280 cell/mm(3) and viral load=4,043 log. This case report presents an uncommon dermatological-clinical picture in the youngest patient in which such association has been reported to date.
Descrição
Palavras-chave
paracoccidioidomycosis, AIDS, co-infection, opportunistic fungal infection, cutaneous lesions
Como citar
Medical Mycology. Abingdon: Taylor & Francis Ltd, v. 48, n. 1, p. 182-187, 2010.