When the adrenals alert us to a systemic fungal disease-Reference-Cited by-同舟云学术

When the adrenals alert us to a systemic fungal disease

Published:2023-08-23 Issue:11 Volume:45 Page:
ISSN:0141-9838
Container-title:Parasite Immunology
language:en
Short-container-title:Parasite Immunology

Author:

Fernandes Daniel Alvarenga¹^ORCID,Resende Mariângela Ribeiro²^ORCID,da Silva Acsa Caroline Mesquita²^ORCID,Schenka André Almeida³^ORCID,Barreto Icléia⁴^ORCID,Reis Fabiano¹^ORCID

Affiliation:

1. Department of Radiology, School of Medical Sciences University of Campinas (UNICAMP) Campinas São Paulo Brazil

2. Department of Internal Medicine, School of Medical Sciences University of Campinas (UNICAMP) Campinas São Paulo Brazil

3. Department of Translational Medicine, School of Medical Sciences University of Campinas (UNICAMP) Campinas São Paulo Brazil

4. Department of Pathology, School of Medical Sciences University of Campinas (UNICAMP) Campinas São Paulo Brazil

Abstract

AbstractWe present a patient referred for investigation of adrenal insufficiency, confirmed due to disseminated paracoccidioidomycosis (PCM), with abdominal and central nervous system (CNS) involvement. Establishing the pathogenesis and immunological processes involved in chronic or latent infections by PCM has been challenging. Medical doctors caring for patients with immunodeficiencies should learn about these fungal infections to properly guide travel planning and have this possibility in the diagnostic arsenal when the patient returns from endemic areas. After 13 months of treatment, the patient showed good clinical evolution, and we repeated imaging exams, showing partial improvement of the preview lesions. Diagnosis and treatment can prevent catastrophic events.

Publisher

Wiley

Subject

Immunology,Parasitology

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/pim.13008

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