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Intestinal Paracoccidioidomycosis: Case report and literature review

Felipe Giron1, Marco Vanegas2, Lina M Rodriguez3

  • 1Faculty of Medicine, Universidad del Rosario, Colombia; Faculty of Medicine, Universidad de los Andes, Bogotá, Colombia; Hospital Universitario Mayor de Mederi, Colombia.

International Journal of Surgery Case Reports
|February 5, 2022
PubMed
Abstract

Insights

Intestinal Paracoccidioidomycosis is a rare fungal infection. This case highlights the diagnostic challenges and need for consideration in endemic areas, even with non-specific symptoms.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Paracoccidioidomycosis (PCM) is a systemic fungal infection, typically affecting the respiratory system.
  • Extrapulmonary manifestations of PCM are infrequent, occurring in less than 1% of cases.

Purpose of the Study:

  • To report a rare case of intestinal Paracoccidioidomycosis.
  • To emphasize the diagnostic challenges associated with extrapulmonary PCM.

Main Methods:

  • Presentation of a clinical case involving a 73-year-old male.
  • Surgical management of acute abdominal symptoms due to intestinal PCM.
  • Postoperative antifungal treatment.

Main Results:

  • The patient presented with an acute surgical abdomen.
  • Intestinal resection was performed.
  • Successful postoperative antifungal therapy was administered.

Conclusions:

  • Intestinal Paracoccidioidomycosis is a rare condition with a difficult diagnostic pathway.
  • Nonspecific clinical signs and low frequency contribute to diagnostic challenges.
  • Extrapulmonary presentations, though rare, warrant consideration in endemic regions.
Keywords:
Case reportGeneral surgeryIntestinal Paracoccidioidomycosis

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