PMID- 33317932 OWN - NLM STAT- MEDLINE DCOM- 20211028 LR - 20211028 IS - 2173-9188 (Electronic) IS - 1130-1406 (Linking) VI - 38 IP - 1 DP - 2021 Jan-Mar TI - Paracoccidioidomycosis due to Paracoccidioides brasiliensis S1 associated with acquired immunodeficiency syndrome: A case report. PG - 5-8 LID - S1130-1406(20)30046-2 [pii] LID - 10.1016/j.riam.2020.09.003 [doi] AB - BACKGROUND: Paracoccidioidomycosis (PCM) is an endemic disease in Latin America. In immunocompetent hosts, PCM occurs in two main clinical forms: acute and chronic. However, in HIV-infected patients PCM may show up simultaneous manifestations of acute and chronic forms. CASE REPORT: We present the case of a patient diagnosed with HIV who had disseminated skin lesions and generalized lymphadenopathy, as well as respiratory and central nervous system involvement. The PCM diagnosis was confirmed by direct KOH examination, double immunodiffusion and the isolation of the fungus in samples of an abscess in the subcostal region. The isolate was identified as Paracoccidioides brasiliensis S1 by species-specific PCR using primers for protein-coding gene GP43 (exon 2) followed by PCR-RFLP of the alpha-tubulin gene. CONCLUSIONS: There are few data in literature reporting species-specific molecular identification of Paracoccidioides in HIV/PCM patients. Therefore, this case report may contribute to improve the knowledge about this severe disease, its causative cryptic species, and its consequences to patients. CI - Copyright (c) 2020 Asociacion Espanola de Micologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Pecanha, Paulo Mendes AU - Pecanha PM AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Bahiense, Isabela Cruz AU - Bahiense IC AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Kruschewsky, Wdson Luis Lima AU - Kruschewsky WLL AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Biasutti, Claudia AU - Biasutti C AD - Hospital Universitario Cassiano Antonio Moraes-UFES, Brazil. FAU - Junior, Carlos Urbano Goncalves Ferreira AU - Junior CUGF AD - Hospital Universitario Cassiano Antonio Moraes-UFES, Brazil. FAU - Pinheiro, Breno Goncalves AU - Pinheiro BG AD - Universidade Federal de Sao Paulo-UNIFESP, Brazil. FAU - Maifrede, Simone Bravim AU - Maifrede SB AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Camargo, Zoilo Pires de AU - Camargo ZP AD - Universidade Federal de Sao Paulo-UNIFESP, Brazil. FAU - Rodrigues, Anderson Messias AU - Rodrigues AM AD - Universidade Federal de Sao Paulo-UNIFESP, Brazil. FAU - Grao-Velloso, Tania Regina AU - Grao-Velloso TR AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Falqueto, Aloisio AU - Falqueto A AD - Universidade Federal do Espirito Santo-UFES, Brazil. FAU - Goncalves, Sarah Santos AU - Goncalves SS AD - Universidade Federal do Espirito Santo-UFES, Brazil. Electronic address: sarah.tavares@ufes.br. LA - eng PT - Case Reports DEP - 20201213 PL - Spain TA - Rev Iberoam Micol JT - Revista iberoamericana de micologia JID - 9425531 SB - IM MH - *Acquired Immunodeficiency Syndrome/complications MH - Humans MH - *Paracoccidioides/genetics MH - *Paracoccidioidomycosis/complications/diagnosis MH - Polymorphism, Restriction Fragment Length MH - Species Specificity OTO - NOTNLM OT - Co-infection OT - Coinfeccion OT - HIV OT - Paracoccidioides brasiliensis S1 OT - Paracoccidioidomicosis OT - Paracoccidioidomycosis OT - VIH EDAT- 2020/12/16 06:00 MHDA- 2021/10/29 06:00 CRDT- 2020/12/15 05:47 PHST- 2020/06/05 00:00 [received] PHST- 2020/08/03 00:00 [revised] PHST- 2020/09/14 00:00 [accepted] PHST- 2020/12/16 06:00 [pubmed] PHST- 2021/10/29 06:00 [medline] PHST- 2020/12/15 05:47 [entrez] AID - S1130-1406(20)30046-2 [pii] AID - 10.1016/j.riam.2020.09.003 [doi] PST - ppublish SO - Rev Iberoam Micol. 2021 Jan-Mar;38(1):5-8. doi: 10.1016/j.riam.2020.09.003. Epub 2020 Dec 13.