Bilateral paracoccidioidomycotic iliopsoas abscess associated with ileo-colonic lesion

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Helena Duani, Vinícius Rodrigues Taranto Nunes, Anísio Borges Assumpção, Isadora Sofia Borges Saraiva, Rodrigo Macedo Rosa, Augusto Motta Neiva, Ênio Roberto Pietra Pedroso
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2012
• Subjects: Paracoccidioidomicose; Abscesso do psoas; Paracoccidioides brasiliensis; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/S0037-86822012000500021; https://doaj.org/article/3c35f8db04724347a224644cf8410b65

This case report shows the clinical development of a patient with systemic paracoccidioidomycosis presenting with lymphatic-intestinalmanifestation. The patient initially had a substantial clinical improvement but had a recrudescence after six months of sulfamethoxazoletrimethoprim oral treatment, with the emergence of feverish syndrome, lumbar pain, and intermittent claudication, characterizing a bilateral iliopsoas muscle abscess, necessitating clinicosurgical therapeutics.