RESUMO
The lymphoabdominal involvement in the sub-acute form of paracoccidioidomycosis shows a wide variety of clinical manifestations, ranging from fever and lymph node enlargement to infiltration of all abdominal organs, which can lead to a situation of abdominal surgical emergency. This case report presents paracoccidioidomycosis mimicking carcinoma of the biliary tract, The purpose of this paper is to call the general physician's attention for this important differential diagnosis of abdominal masses. Although paracoccidioidomycosis is rarely encountered in the United States and Europe, it should be considered in patients who are suspected of having a fungal infection and have had previous exposure in an endemic area for this disease.
Assuntos
Doenças Biliares/diagnóstico , Neoplasias do Sistema Biliar/diagnóstico , Paracoccidioides/isolamento & purificação , Paracoccidioidomicose/diagnóstico , Adulto , Brasil , Diagnóstico Diferencial , Feminino , Humanos , RecidivaRESUMO
A paracoccidioidomicose (PCM) é a infecção fúngica sistêmica de maior prevalência na América Latina. Sua real prevalência, entretanto, não é conhecida, pois não é de notificação compulsória. Foram analisados, retrospectivamente, 74 pacientes com PCM atendidos no HC, entre 1975 e 2001. AS informações foram analisadas através do aplicativo EPIINFO 6.04. Os pacientes apresentaram a seguinte distribuição: 1) 54 (73%) eram homens; 2) 43 (58,1%) residiam em áreas urbanas e 26(35,1%) em áreas rurais de MG; 3) 47 (63,5%) relataram contato com área rural; 4) 28 (37,8%) eram lavradores, 19 (25,7%) eram prestadores de serviços em áreas urbanas, 15 (20,3%) eram estudantes, 6 (8,1%) eram "do lar" e 4 (5,4%) eram domésticas; 5) 31 (41,9%) eram feodérmico, 21 (28,4%) eram leucodérmicos, e 19 (25,7%) melanodérmicos.
Paracoccidioidomycosis (PCM) is the most prevalent systemic fungal infection in Latin America. However, its real prevalence is not known because there is not compulsory notification. A sample of 74 patients with PCM attended in a university hospital, between 1975 and 2001, was evaluated. The data were analyzed through EPIINFO 6.04 program. The patients had the following distribuition: 1) 54 (73%) men. 2) 43 (58,1%) living in urban areas and 26 (35,1%)in rural areas of Minas Gerais State. 3) 47 (63,5%) reported contact with rural area. 4) 28 (37,8%) were rural workers, 19 (25,7%) worked in urban areas, 15 (20,3%) were students, 6 (8,1%) were housewives and 4 (5,4%) were domestic maids. 5) 31 (41;9%) were mulattos, 21 (28,4%) were white, and 19 (25,7%) were black.