PMID- 31516118 OWN - NLM STAT- MEDLINE DCOM- 20200318 LR - 20210110 IS - 1476-1645 (Electronic) IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 101 IP - 5 DP - 2019 Nov TI - Case Report: Paracoccidioidomycosis in Solid Organ Transplantation: Disseminated Disease in a Liver Recipient and Literature Review. PG - 1100-1106 LID - 10.4269/ajtmh.18-1008 [doi] AB - Paracoccidioidomycosis (PCM) is an endemic systemic mycosis that is of great importance in Latin America. Its occurrence in solid organ transplantation (SOT) is rare, but with high mortality rate. In this report, we describe a case of PCM in a liver transplant recipient 19 months after transplantation. The patient presented with multiple skin abscesses, arthritis, osteolytic lesions, and pulmonary and adrenal involvement. Despite the presence of disseminated disease and the patient's immunosuppressed condition, the patient responded well to prolonged antifungal treatment with no sequelae, thus suggesting that early diagnosis and correct treatment may lead to favorable outcomes in SOT recipients with PCM. FAU - Pecanha-Pietrobom, Paula M AU - Pecanha-Pietrobom PM AD - Division of Infectious Diseases, Department of Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo, Sao Paulo, Brazil. FAU - Falqueto, Aloisio AU - Falqueto A AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Rodrigues Gandarella, Anna Danielle AU - Rodrigues Gandarella AD AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Moyzes, Julia Vieira AU - Moyzes JV AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Rangel, Karoline Almeida AU - Rangel KA AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Miranda, Leticia Balarini AU - Miranda LB AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Hemerly, Matheus Compart AU - Hemerly MC AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Careta, Renata Scarpa AU - Careta RS AD - Department of Pathology, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. FAU - Pecanha, Paulo Mendes AU - Pecanha PM AD - Infectious Diseases Unit, Hospital Universitario Cassiano Antonio Moraes, Universidade Federal do Espirito Santo, Vitoria, Brazil. LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 RN - 0 (Anti-Bacterial Agents) RN - 0 (Antifungal Agents) RN - 0 (liposomal amphotericin B) RN - 7XU7A7DROE (Amphotericin B) RN - 8064-90-2 (Trimethoprim, Sulfamethoxazole Drug Combination) SB - IM MH - Amphotericin B/administration & dosage/therapeutic use MH - Anti-Bacterial Agents/administration & dosage/therapeutic use MH - Antifungal Agents/therapeutic use MH - Brazil/epidemiology MH - Humans MH - Liver Transplantation/*adverse effects MH - Male MH - Middle Aged MH - Paracoccidioides MH - Paracoccidioidomycosis/*diagnosis/*drug therapy/epidemiology MH - *Transplant Recipients MH - Trimethoprim, Sulfamethoxazole Drug Combination/administration & dosage/therapeutic use PMC - PMC6838593 EDAT- 2019/09/14 06:00 MHDA- 2020/03/19 06:00 PMCR- 2020/11/01 CRDT- 2019/09/14 06:00 PHST- 2019/09/14 06:00 [pubmed] PHST- 2020/03/19 06:00 [medline] PHST- 2019/09/14 06:00 [entrez] PHST- 2020/11/01 00:00 [pmc-release] AID - tpmd181008 [pii] AID - 10.4269/ajtmh.18-1008 [doi] PST - ppublish SO - Am J Trop Med Hyg. 2019 Nov;101(5):1100-1106. doi: 10.4269/ajtmh.18-1008.