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Vol. 14. Issue 1.
Pages 77-80 (January - February 2010)
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Vol. 14. Issue 1.
Pages 77-80 (January - February 2010)
Case Report
Open Access
Juvenile paracoccidioidomycosis in urban area: report of two cases
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Rodrigo da Costa Carneiro1,
Corresponding author
rodrigoccarneiro@gmail.com

Correspondence to: Resident of Infectious Diseases Department, Hospital do Servidor Público Estadual, Rua Pedro de Toledo, n. 1800, CEP 04039-004, São Paulo, SP, Brazil. Telephone/Fax number: 55 11 55491565.
, Bianca Grassi de Miranda2, Carlos Camilo Neto3, Marina K. Tsukumo4, Cibele L.C. Fonseca5, João Silva de Mendonça6
1,2 Residents of Infectious Diseases Department, Hospital do Servidor Público Estadual
3 Resident of Pathology Department, Hospital do Servidor Público Estadual
4,5 Preceptors of Infectious Diseases Department, Hospital do Servidor Público Estadual
6 Director of Infectious Diseases Department, Hospital do Servidor Público Estadual
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Abstract

We present two cases of juvenile form of paracoccidioidomycosis (PCM), a systemic mycosis frequently found in rural areas, whose prognosis is poor in children and young adults. They are a 14-year-old boy and a 25-year-old woman, both residents in an urban area in São Paulo – Brazil, without any history of travelling to an endemic area. They have been admitted to the hospital due to fever, weight loss and lymphadenopathy. The diagnosis was confirmed by serologic and histopathologic study. Patients have recovered after therapy with oral itraconazole and were discharged from hospital, maintaining outpatient visits. In this article, the authors discuss the unusual presentation of PCM in an urban area.

Keywords:
juvenile paracoccidioidomycosis
lymphadenopathy
Paracoccidioides brasiliensis
urban area
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