Paracoccidiomicosis in the central nervous system: a case report

Authors

  • Jesús Rojas-Jaimes Laboratorio de Microbiologia del Hospital Guillermo Almenara Irigoyen. Lima, Peru.
  • Raul Castillo Cordova Departamento de Infectologia del Hospital Guillermo Almenara Irigoyen. Lima, Peru.
  • Delza Tárraga Gonzales Laboratorio de Microbiologia del Hospital Guillermo Almenara Irigoyen. Lima, Peru.

DOI:

https://doi.org/10.17843/rpmesp.2015.321.1592

Keywords:

Paracoccidioidomycosis, Central Nervous System, Paracoccidioides

Abstract

Paracoccidioidomycosis is a fungal disease which can compromise the central nervous system (CNS).We present a case of an immunocompetent 45 year old man from Satipo, Peru who developed paracoccidioidomycosis in the CNS without any apparent point of entry or infection. The patient was diagnosed by imaging with a cerebellar granuloma, followed by a craniotomy where tissue and secretion of the granuloma abscess was obtained. Histological and microbiological diagnoses were performed on the tissue and secretion, respectively. Yeasts were observed in the histological section and growth of the fungus in the culture. The patient initially received antifungals, then acquired an intrahospital infection, received colistin and subsequently died. The case report emphasizes the importance of early and correct diagnosis for good outcomes of paracoccidioidomycosis cases.

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Published

2015-04-03

Issue

Section

Case Report

How to Cite

1.
Rojas-Jaimes J, Castillo Cordova R, Tárraga Gonzales D. Paracoccidiomicosis in the central nervous system: a case report. Rev Peru Med Exp Salud Publica [Internet]. 2015 Apr. 3 [cited 2024 Jul. 16];32(1):183-6. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1592