Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/55131
Type: Artigo de Periódico
Title: Disseminated mycosis in a patient with yellow fever
Authors: Gustavo Vieira Rodrigues Maciel
Marcelo Combat de Faria Tavares
Leonardo Soares Pereira
Guilherme Lima Castro Silva
Neimy Ramos de Oliveira
Eduardo Paulino Júnior
Marcelo Antonio Pascoal-xaviera
Abstract: Disseminated mycosis (DM)—with cardiac involvement and shock—is an unexpected and severe opportunistic infection in patients with yellow fever. DM can mimic bacterial sepsis and should be considered in the differential diagnosis of causes of systemic inflammatory response syndrome in this group of patients, especially in areas where an outbreak of yellow fever is ongoing. We report the case of a 53-year-old male patient who presented to the emergency department with fever, myalgia, headache, and low back pain. The laboratory investigation revealed a positive molecular test for yellow fever, hepatic injury, and renal failure. During hospitalization, the patient developed hepatic encephalopathy, ascending leukocytosis, and ascites, with signs consistent with peritonitis. On the 11th day of hospitalization, the patient developed atrioventricular block, shock and died. At autopsy, angioinvasive mycosis was evidenced mainly in the heart, lungs, kidneys, and adrenals.
Subject: Infecções Fúngicas Invasivas
Micose Fungoide
Febre Amarela
Autópsia
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: MED - DEPARTAMENTO DE ANATOMIA PATOLÓGICA E MEDICINA LEGAL
Rights: Acesso Aberto
metadata.dc.identifier.doi: http://dx.doi.org/10.4322/acr.2018.038
URI: http://hdl.handle.net/1843/55131
Issue Date: 2018
metadata.dc.url.externa: https://autopsyandcasereports.org/article/doi/10.4322/acr.2018.038
metadata.dc.relation.ispartof: Autopsy Case Reports
Appears in Collections:Artigo de Periódico

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