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C-1006 - The faces of Juvenile Paracoccidioidomycosis

L. Ferreira Bueno1, F. del Campo Braojos Braga1, M. Ribeiro Rodeiro Cardoso2, P. Moriguchi Cação1, E. Cristina de Moraes Arruda2, A. Soares Souza2; 1 São josé do rio preto/BR 2 SAO JOSE DO RIO PRETO/BR Type: Educational Exhibit
Area of Interests: Lymph nodes, Pediatric
Imaging Techniques: Digital radiography, CT, Ultrasound
Procedures: Diagnostic procedure, Education
Special Focuses: Infection, Tropical diseases
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Learning objectives: Paracoccicidioidomycosis is a fungical granulomatous disease caused by Paracoccidioides brasiliensis, which is considered the most important systemic mycosis in Latin America, being endemic in Brazil. If not diagnosed and treated promptly, this infection can lead to serious and lethal disseminated [...]

Background: Paracoccicidioidomycosis is endemic in Brazil, especially in the Southern and Southeastern regions. Inhalation of the fungus is the most common form of disease transmission; however traumatic inoculation can also occur. The fungus usually enter in the upper respiratory tract, through the inhalation [...]

Findings and procedure details: We searched electronic medical records in a tertiary hospital and reviewed the radiology picture archiving, including all available imaging exams (radiograph, CT scans, MRI, and ultrasound) between 2013 and 2016. Excisional node biopsy was used as a confirmatory diagnosis. Five patients (1 girl and [...]

Conclusion: Diagnose of juvenile Paracoccicidioidomycosis remains a challenge in juveniles with multisystem nodal disease, since it has multiple differential diagnoses, mainly in this age group. However it must be considered when evaluating children with a febrile lymphoproliferative syndrome.  The medical[...]

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References: •Muniz MAS, Marchiori E, Magnago M, Moreira LBM, Junior JGA. Paracoccidioidomicose Pulmonar – Aspectos na Tomografia Computadorizada de Alta Resolução. Radiol Bras 2002;35(3):147–154   •Wanke B, Aide MA. Curso De Atualização – Micoses. J Bras Pneumol. 2009;35(12):1245-1249   •Santos LBS, L[...]

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