title: [The diagnosis of severe disseminated paracoccidioidomycosis in a bone marrow aspirate: a case report].
abstract: 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 fo 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.
authors.affiliation: Departamento de Clínica Médica, Hospital Universitário Júlio Müller, Universidade Federal de Mato Grosso, Cuiabá, MT, Brasil.
authors.forename: K S
authors.initials: KS
authors.lastname: Ozaki
authors.forename: S
authors.initials: S
authors.lastname: Munhoz Júnior
authors.forename: K
authors.initials: K
authors.lastname: Pinheiro
authors.forename: T
authors.initials: T
authors.lastname: Tadano
authors.forename: C J
authors.initials: CJ
authors.lastname: Fontes
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001853:Bone Marrow / Q000382:microbiology / Q000473:pathology*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010228:Paracoccidioides / Q000302:isolation & purification; D010229:Paracoccidioidomycosis / Q000382:microbiology / Q000473:pathology*
vernacular_title: Diagnóstico de paracoccidioidomicose disseminada grave em aspirado de medula óssea: relato de caso.