Document Detail

Disseminated paracoccidioidomycosis (simulating metastatic lung cancer) and Strongyloides stercoralis hyperinfestation in a steroid-treated patient.
MedLine Citation:
PMID:  21430109     Owner:  NLM     Status:  MEDLINE    
We report a case of disseminated paracoccidioidomycosis, initially suggestive of metastatic lung cancer. The infection was associated with strongyloides hyperinfestation as a result of iatrogenic hypercorticoidism. Examination of a smear prepared from aspirated tracheobronchial secretion and stained by Grocott-methenamine-silver revealed structures consistent with Paracoccidioides brasiliensis and Strongyloides stercoralis. At autopsy, the central nervous system and pulmonary paracoccidioidomycosis, as well as pulmonary strongyloidiasis, were confirmed, without evidence of malignant cells.
Aline Gehlen Dall Bello; Cecília Bittencourt Severo; Flávio de Mattos Oliveira; Luiz Carlos Severo
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-03-23
Journal Detail:
Title:  Journal of clinical microbiology     Volume:  49     ISSN:  1098-660X     ISO Abbreviation:  J. Clin. Microbiol.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-28     Completed Date:  2011-07-26     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  7505564     Medline TA:  J Clin Microbiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2054-5     Citation Subset:  IM    
Postgraduation Program of Pneumology Science, Universidade Federal do Rio Grande do Sul , Porto Alegre, Rio Grande do Sul, Brazil.
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MeSH Terms
Immunocompromised Host
Immunosuppressive Agents / administration & dosage
Lung / microbiology,  parasitology,  pathology*
Middle Aged
Paracoccidioides / isolation & purification*
Paracoccidioidomycosis / complications*,  diagnosis*,  pathology
Radiography, Thoracic
Steroids / administration & dosage
Strongyloides stercoralis / isolation & purification*
Strongyloidiasis / complications*,  diagnosis*,  pathology
Tomography, X-Ray Computed
Reg. No./Substance:
0/Immunosuppressive Agents; 0/Steroids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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