Diagnóstico de paracoccidioidomicose disseminada grave em aspirado de medula óssea: relato de caso

• Main Authors: Kikumi Suzete Ozaki, Sidney Munhoz Júnior, Eloisa Kohl Pinheiro, Tomoko Tadano, Cor Jésus F. Fontes
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 1996
• Subjects: Paracoccidioidomicose; Blastomicose sul-americana; Medula óssea; Paracoccidioides brasiliensis; Paracoccidioidomycosis; Blastomycosis; Bone marrow; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doaj.org/article/2fc8208b5ecb468aaeb4c8797b5db5fa

Descreve-se caso de um paciente adulto, portador de forma crônica multifocal grave de paracoccidioidomicose, cujo diagnóstico etiológico foi feito pelo achado do fungo em aspirado de medula óssea, a partir da obsemação direta e da mielocultura. Os autores destacam a importância destes exames na propedêutica de pacientes suspeitos de portarem a forma sistêmica da micose. Acute or chronic disseminated paracoccidioidomycosis can be associated with changes in blood and bone marrow cell counts, mainly in the severe forms of this disease. However, there are few reports about the microbiological confirmation of the mycosis in bone marrow tissue. The present report describes a case of an adult patient with severe chronic multifocal paracoccidioidomycosis, whose etiological diagnosis has been done by the microscopical exam and culture of the bone marrow aspirate. The authors emphasize the importance of these exams as an alternative way for the diagnosis of suspected cases of severe paracoccidioidomycosis.