Eduardo Mastrangelo Marinho Falcão, Manuela da Costa Medeiros, Andrea D Ávila Freitas, João Carlos de Almeida Soares, Maria Inês Fernandes Pimentel, Leonardo Pereira Quintella, Dayvison Francis Saraiva Freitas, Priscila Marques de Macedo, Antônio Carlos Francesconi do Valle
Paracoccidioidomycosis (PCM) is a systemic mycosis endemic in Latin America, mostly in Brazil. The involvement of the gastrointestinal tract is uncommon and usually associated with the acute form. Recently, a cluster of acute PCM cases has been described in Rio de Janeiro, Brazil. We report a 42-year-old male, resident of Rio de Janeiro, presenting chronic diarrhea and abdominal pain in the past 3 years, previously diagnosed as Chron´s disease. When immunosuppressive therapy was prescribed, the patient evolved with worsening of the previous symptoms in addition to odynophagia, 20 kg-weight loss, disseminated skin lesions, diffuse lymphadenopathy and adrenal insufficiency...
January 2023: PLoS Neglected Tropical Diseases