PMID- 37222352
OWN - NLM
STAT- MEDLINE
DCOM- 20230525
LR  - 20230527
IS  - 1678-9849 (Electronic)
IS  - 0037-8682 (Print)
IS  - 0037-8682 (Linking)
VI  - 56
DP  - 2023
TI  - Chylothorax and chylous ascites due to juvenile paracoccidioidomycosis: a case 
      report.
PG  - e06052022
LID - S0037-86822023000100701 [pii]
LID - 10.1590/0037-8682-0605-2022 [doi]
LID - e0605-2022
AB  - Paracoccidioidomycosis (PCM) is a systemic fungal infection caused by 
      Paracoccidioides species. Chylothorax is a rare complication of PCM. A 
      16-year-old adolescent presented daily fever, lymphadenomegaly, sweating, weight 
      loss, ventilatory-dependent pain, and dysphagia, which confirmed PCM. During 
      treatment, the patient developed chylothorax and chylous ascites. Chronic 
      inflammatory and fibrotic lymphadenopathy may obstruct lymphatic vessels, 
      resulting in the extravasation of lymph into the abdomen or pleural cavities. 
      Chylothorax is one of several complications of PCM and can lead to respiratory 
      insufficiency, even in patients undergoing antifungal therapy.
FAU - Santos, Ana Paula Freitas Bahia Dos
AU  - Santos APFBD
AUID- ORCID: 0000-0001-6720-5367
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Russo, Tomas Varella Costa
AU  - Russo TVC
AUID- ORCID: 0000-0003-0926-4582
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Pascuotte, Beatriz
AU  - Pascuotte B
AUID- ORCID: 0000-0001-9432-8274
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Visconde, Luis Felipe Silva
AU  - Visconde LFS
AUID- ORCID: 0000-0003-2392-6458
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Luetz, Adryelle Carolynne Nogueira
AU  - Luetz ACN
AUID- ORCID: 0000-0002-2832-888X
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Sarris, Andrey Biff
AU  - Sarris AB
AUID- ORCID: 0000-0002-0708-3430
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Rocha, Matheus Dias Girao
AU  - Rocha MDG
AUID- ORCID: 0000-0003-2531-2126
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Puga, Fernanda Guioti
AU  - Puga FG
AUID- ORCID: 0000-0002-0380-5109
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Gaspar, Gilberto Gambero
AU  - Gaspar GG
AUID- ORCID: 0000-0002-6804-454X
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Bollela, Valdes Roberto
AU  - Bollela VR
AUID- ORCID: 0000-0002-8221-4701
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
FAU - Martinez, Roberto
AU  - Martinez R
AUID- ORCID: 0000-0001-6906-7981
AD  - Faculdade de Medicina de Ribeirao Preto, Hospital das Clinicas, Departamento de 
      Clinica Medica, Infectologia, Ribeirao Preto, SP, Brasil.
LA  - eng
PT  - Case Reports
DEP - 20230522
PL  - Brazil
TA  - Rev Soc Bras Med Trop
JT  - Revista da Sociedade Brasileira de Medicina Tropical
JID - 7507456
SB  - IM
MH  - Adolescent
MH  - Humans
MH  - *Chylothorax
MH  - *Chylous Ascites
MH  - *Paracoccidioidomycosis
MH  - *Lymphadenopathy
MH  - Fever
PMC - PMC10204149
COIS- Conflict of Interest: None.
EDAT- 2023/05/24 13:08
MHDA- 2023/05/25 06:42
PMCR- 2023/05/22
CRDT- 2023/05/24 07:24
PHST- 2022/12/21 00:00 [received]
PHST- 2023/03/24 00:00 [accepted]
PHST- 2023/05/25 06:42 [medline]
PHST- 2023/05/24 13:08 [pubmed]
PHST- 2023/05/24 07:24 [entrez]
PHST- 2023/05/22 00:00 [pmc-release]
AID - S0037-86822023000100701 [pii]
AID - 10.1590/0037-8682-0605-2022 [doi]
PST - epublish
SO  - Rev Soc Bras Med Trop. 2023 May 22;56:e06052022. doi: 
      10.1590/0037-8682-0605-2022. eCollection 2023.