Disseminated mycosis in a patient with yellow fever

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dc.creatorGustavo Vieira Rodrigues Maciel
dc.creatorMarcelo Combat de Faria Tavares
dc.creatorLeonardo Soares Pereira
dc.creatorGuilherme Lima Castro Silva
dc.creatorNeimy Ramos de Oliveira
dc.creatorEduardo Paulino Júnior
dc.creatorMarcelo Antonio Pascoal-xaviera
dc.date.accessioned2023-06-19T20:21:08Z
dc.date.accessioned2025-09-09T01:06:43Z
dc.date.available2023-06-19T20:21:08Z
dc.date.issued2018
dc.format.mimetypepdf
dc.identifier.doihttp://dx.doi.org/10.4322/acr.2018.038
dc.identifier.issn22361960
dc.identifier.urihttps://hdl.handle.net/1843/55131
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofAutopsy Case Reports
dc.rightsAcesso Aberto
dc.subjectInfecções Fúngicas Invasivas
dc.subjectMicose Fungoide
dc.subjectFebre Amarela
dc.subjectAutópsia
dc.subject.otherInvasive Fungal Infections
dc.subject.otherMycosis
dc.subject.otherYellow Fever
dc.subject.otherAutopsy
dc.titleDisseminated mycosis in a patient with yellow fever
dc.typeArtigo de periódico
local.citation.epage8
local.citation.issue3
local.citation.spage1
local.citation.volume8
local.description.resumoDisseminated 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.
local.identifier.orcidhttps://orcid.org/0000-0001-6157-6511
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE ANATOMIA PATOLÓGICA E MEDICINA LEGAL
local.publisher.initialsUFMG
local.url.externahttps://autopsyandcasereports.org/article/doi/10.4322/acr.2018.038

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