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Simultaneous chronic pulmonary paracoccidiodomycosis and disseminated cryptococcosis in a non-HIV patient

Author: Santos José   Silveira Maurício   Santos Fábio   Mathias Aline   Bertolazi Alessandra   Melo Carlos   Oliveira Loiva   Severo Luiz   Oliveira Flávio  

Publisher: Springer Publishing Company

ISSN: 0301-486X

Source: Mycopathologia, Vol.159, Iss.3, 2005-04, pp. : 373-376

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Abstract

An unusual case of chronic pulmonary paracoccidiodomycosis and disseminated cryptococcosis in a non-HIV infected patient is reported in a 72-year-old previously healthy man. A chest radiograph disclosed a bilateral diffused interstitial infiltrate involving middle and lower lung fields. Specimen samples taken from the tracheal tube revealed yeast-like organisms suggestive of Cryptococcus neoformans and Paracoccidiodes brasiliensis. Blood and cerebrospinal fluid culture was positive forC. neoformans and the immunodiffusion test against paracoccidiodin revealed a precipitation band. The patient died 24 days after the admission.

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