皮肤线索的罕见骨表现的副球孢子菌病：早期诊断的重要性。

IF 2.3 4区医学 Q2 PARASITOLOGY

Revista da Sociedade Brasileira de Medicina Tropical Pub Date : 2025-10-17 eCollection Date: 2025-01-01 DOI:10.1590/0037-8682-0232-2025

Márcio Fellipe Menezes Viana, Rafael Fantelli Stelini, Andréa Fernandes Eloy da Costa França, Daniela Tsukumo Mitti, Luiz Fernando Monte Borella, Fabiano Reis

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引用次数: 0

摘要

副球孢子菌病（PCM）是巴西最常见的系统性真菌病，由副球孢子属二态真菌引起，主要通过吸入获得。PCM与高死亡率有关，特别是生活在农村地区的男性。本病例报告描述了一位47岁的男性，通过活检和直接真菌检查诊断为骨皮受累。骨性PCM很少见，应与其他感染和肿瘤鉴别。治疗包括延长抗真菌治疗和至少两年的随访。本病例强调了皮肤科评估在非典型PCM表现中的诊断价值。

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Cutaneous clues to a rare osseous manifestation of paracoccidioidomycosis: The importance of early diagnosis.

Paracoccidioidomycosis (PCM), the most prevalent systemic mycosis in Brazil, is caused by dimorphic fungi of the genus Paracoccidioides and is acquired primarily through inhalation. PCM is associated with a high mortality, particularly among men living in rural areas. This case report describes a 47-year-old man with osteocutaneous involvement diagnosed by biopsy and direct fungal examination. The osseous form of PCM is rare and should be differentiated from other infections and neoplasms. Management involves prolonged antifungal therapy and follow-up for at least two years. This case highlights the diagnostic value of dermatological assessments in atypical presentations of PCM.

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来源期刊

Revista da Sociedade Brasileira de Medicina Tropical 医学-热带医学

CiteScore

3.40

自引率

10.00%

发文量

195

审稿时长

3-8 weeks

期刊介绍： The Journal of the Brazilian Society of Tropical Medicine (JBSTM) isan official journal of the Brazilian Society of Tropical Medicine) with open access. It is amultidisciplinary journal that publishes original researches related totropical diseases, preventive medicine, public health, infectious diseasesand related matters. Preference for publication will be given to articlesreporting original observations or researches. The journal has a peer-reviewsystem for articles acceptance and its periodicity is bimonthly. The Journalof the Brazilian Society of Tropical Medicine is published in English.The journal invites to publication Major Articles, Editorials, Reviewand Mini-Review Articles, Short Communications, Case Reports, TechnicalReports, Images in Infectious Diseases, Letters, Supplements and Obituaries.