[Paracoccidioidomycosis in cerebral hemisphere and brainstem: case report].

Abstract:

:We report on a 36 years-old man that had been at the Amazon forest four years before. Six months before the admission he had developed a progressive quadriparesis, gait ataxia, dysphagia, dysarthria, difficulty in breathing and hiccup. The gadolinium-enhanced T1-weighted MRI showed a lesion into the right parietoccipital area and another into the medulla, that was the largest. There was any evidence of tuberculosis or AIDS. The patient was submitted to microsurgical approach to the medulla. Pathological examination revealed paracoccidioidomycosis. Treatment with anphotericin B till 2100 mg was administered followed by sulfamethoxazole-trimetoprim for three months plus physical therapy. The patient went back to his activities six months after the end of the treatment. Comments are presented about the participation of the immunological system and of the cytokines (interleukines).

journal_name

Arq Neuropsiquiatr

authors

Leal Filho MB,Borges G,da Silva RG Jr,de Almeida Xavier Aguiar A,de Almeida BR,da Cunha E Silva Vieira MA,Pinheiro LM

doi

10.1590/s0004-282x2006000400033

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

686-9

issue

3A

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2006000400033

journal_volume

64

pub_type

杂志文章
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    pub_type: 临床试验,杂志文章

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