title: [Pulmonary lymph node in acute juvenile paracoccidioidomycosis (a case report)].
abstract: The primary complex like Ghon was observed in a child's clinical roentgenographic study. C.S., white, male, 6 years old, was born in Curitiba (PR), Brazil and living in Guaratingueta (SP), Brazil, developed "common cold", bimodal diary fever, chills, shake and sweats. Dyspnea, cough with general lymphadenopathy. Foot and right shoulder arthralgias. Six months ago visited a cave, equitation practice, dog and cat contacts and no transfusion, frontal sweats, fever (38.4 degrees C). T.A. was 8/6, tachycardia in generalized lymphadenopathy. Cardiopulmonary system was normal, mesogastric tumoral mass, hepatosplenomegaly and no ascites. Bone marrow with eosinophilia; nodule demonstrated presence of P. brasiliensis, hypoalbuminemia; hyperglobulinemia; anemia; leukocytosis with eosinophilia. Immunodiffusion with exoantigen 43 kd of P. brasiliensis was 1/32. Primary complex like Ghon was observed in interstitial pneumonia followed by mediastinal and mesogastric mass (35 to 40 days). Clavicular osteolytic lesions (45 to 60 days) appeared during paracoccidioidomycosis therapy. Recovery was observed 2 months after treatment of acute infantile paracoccidioidomycosis.
authors.affiliation: Faculdade de Medicina de Botucatu/UNESP, Botucatu, SP.
authors.forename: E P
authors.initials: EP
authors.lastname: de Campos
authors.forename: C J
authors.initials: CJ
authors.lastname: Bertoli
authors.forename: K S
authors.initials: KS
authors.lastname: Barbosa
mesh_terms: D000208:Acute Disease; D001706:Biopsy; D002648:Child; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008168:Lung; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000188:drug therapy; D008198:Lymph Nodes / Q000382:microbiology / Q000473:pathology*; D008297:Male; D010228:Paracoccidioides / Q000302:isolation & purification; D010229:Paracoccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy; D012074:Remission Induction; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination
vernacular_title: Linfonodo pulmonar na paracoccidioidomicose aguda infantil (relato de um caso).