PMID- 33717862 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210316 IS - 2211-7539 (Print) IS - 2211-7539 (Electronic) IS - 2211-7539 (Linking) VI - 32 DP - 2021 Jun TI - Mixed and disseminated paracoccidioidomycosis after liver transplantation: Case report. PG - 25-29 LID - 10.1016/j.mmcr.2021.02.004 [doi] AB - Paracoccidioidomycosis (PCM) is a systemic granulomatous fungal infection rarely associated with solid organ transplantation. We report the second case of PCM in an adult after liver transplantation. A 47-year-old woman who had undergone liver transplantation was hospitalized for flu-like symptoms and multiple erythematous ulcerated skin papules. There was lymphadenopathy, pulmonary compromise, and quickly progression to septic shock. PCM was confirmed by skin biopsy and serologic tests, and a satisfactory response to amphotericin B was achieved. CI - (c) 2021 The Authors. FAU - Sinkos, Camila AU - Sinkos C AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Grillo, Thais Gagno AU - Grillo TG AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Bonini, Ana Clara Muraro AU - Bonini ACM AD - Department of Internal Medicine, Hematology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Cardoso, Lucas Goncalves AU - Cardoso LG AD - Department of Pathology - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Watanabe, Erika Mayumi AU - Watanabe EM AD - Department of Tropical Diseases and Diagnostic Imaging - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Cavalcante, Ricardo de Souza AU - Cavalcante RS AD - Department of Tropical Diseases and Diagnostic Imaging - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Silva, Giovanni Faria AU - Silva GF AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Yamashiro, Fabio da Silva AU - Yamashiro FDS AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Romeiro, Fernando Gomes AU - Romeiro FG AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. FAU - Lima, Talles Bazeia AU - Lima TB AD - Department of Internal Medicine, Gastroenterology Division - Sao Paulo State University (UNESP), Botucatu Medical School, Rubiao Junior S/N, 18618-970, Sao Paulo, Brazil. LA - eng PT - Case Reports DEP - 20210223 PL - Netherlands TA - Med Mycol Case Rep JT - Medical mycology case reports JID - 101598259 PMC - PMC7921753 OTO - NOTNLM OT - Cutaneous disease OT - Immunosuppression OT - Liposomal amphotericin B OT - Liver transplantation OT - Paracoccidioidomycosis COIS- There are none. EDAT- 2021/03/16 06:00 MHDA- 2021/03/16 06:01 PMCR- 2021/02/23 CRDT- 2021/03/15 07:05 PHST- 2020/12/14 00:00 [received] PHST- 2021/01/30 00:00 [revised] PHST- 2021/02/17 00:00 [accepted] PHST- 2021/03/15 07:05 [entrez] PHST- 2021/03/16 06:00 [pubmed] PHST- 2021/03/16 06:01 [medline] PHST- 2021/02/23 00:00 [pmc-release] AID - S2211-7539(21)00008-7 [pii] AID - 10.1016/j.mmcr.2021.02.004 [doi] PST - epublish SO - Med Mycol Case Rep. 2021 Feb 23;32:25-29. doi: 10.1016/j.mmcr.2021.02.004. eCollection 2021 Jun.