PMID- 30148057 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230928 IS - 2211-7539 (Print) IS - 2211-7539 (Electronic) IS - 2211-7539 (Linking) VI - 20 DP - 2018 Jun TI - Acute paracoccidioidomycosis with duodenal and cutaneous involvement and obstructive jaundice. PG - 21-25 LID - 10.1016/j.mmcr.2018.01.005 [doi] AB - Paracoccidioidomycosis (PCM) is the most widespread endemic mycosis in LatinAmerica. If PCM is not diagnosed and treated early and adequately, the endemic fungal infection could result in serious sequelae. We report a case of PCM with duodenal and cutaneous involvement simulating cholangitis that was initially misdiagnosed as a lymphoproliferative disease. Clinicians should consider acute paracoccidioidomycosis in the differential diagnosis of jaundice and/or signs/symptoms of cholangitis developing in young patients from paracoccidioidomycosis endemic regions. FAU - Bernardes Filho, Fred AU - Bernardes Filho F AD - Department of Internal Medicine, Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. AD - Dermatology Division, Department of Internal Medicine, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto 14049-900, Sao Paulo, Brazil. FAU - Sgarbi, Isabela AU - Sgarbi I AD - Department of Internal Medicine, Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. FAU - Flavia da Silva Domingos, Santos AU - Flavia da Silva Domingos S AD - Department of Internal Medicine, Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. FAU - Sampaio, Rafael Cruz Rios AU - Sampaio RCR AD - Department of Surgery, Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. FAU - Queiroz, Rodolfo Mendes AU - Queiroz RM AD - Documenta, Centro Avancado de Diagnostico por Imagem. Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. FAU - Fonseca, Silvia Nunes Szente AU - Fonseca SNS AD - Department of Infectious Diseases and Hospital Epidemiology Department, Sao Francisco Hospital, Ribeirao Preto 14015-130, Sao Paulo, Brazil. FAU - Hay, Roderick James AU - Hay RJ AD - King's College, London WC2R 2LS, United Kingdom. FAU - Towersey, Loan AU - Towersey L AD - AIDS Division, Carlos Tortelly Municipal Hospital, Ministry of Health, Niteroi 24070-090, Rio de Janeiro, Brazil. LA - eng PT - Journal Article DEP - 20180112 PL - Netherlands TA - Med Mycol Case Rep JT - Medical mycology case reports JID - 101598259 PMC - PMC6105911 OTO - NOTNLM OT - Cholangitis OT - Paracoccidioides OT - Paracoccidioidomycosis EDAT- 2018/08/28 06:00 MHDA- 2018/08/28 06:01 PMCR- 2018/01/12 CRDT- 2018/08/28 06:00 PHST- 2017/11/20 00:00 [received] PHST- 2018/01/11 00:00 [accepted] PHST- 2018/08/28 06:00 [entrez] PHST- 2018/08/28 06:00 [pubmed] PHST- 2018/08/28 06:01 [medline] PHST- 2018/01/12 00:00 [pmc-release] AID - S2211-7539(18)30005-8 [pii] AID - 10.1016/j.mmcr.2018.01.005 [doi] PST - epublish SO - Med Mycol Case Rep. 2018 Jan 12;20:21-25. doi: 10.1016/j.mmcr.2018.01.005. eCollection 2018 Jun.