| Paracoccidioidomycosis: case report and review. | |
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MedLine Citation:
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PMID: 8922797 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A previously well 59-year-old man presented with paracoccidioidomycosis, more than 15 years after leaving South America. He failed to respond to conventional therapies, first with oral itraconazole and then with amphotericin B plus sulfadiazine, and eventually died of recurrent arterial emboli possibly due to paracoccidioidomycotic aortitis. This patient's presentation demonstrates the difficulties that may be encountered in diagnosing and managing this disease. Paracoccidioidomycosis should be suspected in patients with an appropriate travel history who experience weight loss and have pulmonary, mucosal, and cutaneous lesions. This article comprehensively reviews the literature, with emphasis on epidemiology, clinical presentation, diagnosis, and therapy with imidazole antifungal medications. |
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Authors:
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B J Manns; B W Baylis; S J Urbanski; A P Gibb; H R Rabin |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 23 ISSN: 1058-4838 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 1996 Nov |
Date Detail:
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Created Date: 1997-02-28 Completed Date: 1997-02-28 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1026-32 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Foothills Medical Center, Alberta, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amphotericin B
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therapeutic use Fatal Outcome Humans Itraconazole / therapeutic use Male Middle Aged Paracoccidioides / isolation & purification* Paracoccidioidomycosis* / drug therapy, pathology, physiopathology Sulfadiazine / therapeutic use Treatment Failure |
| Chemical | |
Reg. No./Substance:
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1397-89-3/Amphotericin B; 68-35-9/Sulfadiazine; 84625-61-6/Itraconazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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