title: A case report of intraspinal paracoccidioidomycosis.
abstract: The authors report a case of paraplegia caused by a lumbar intraspinal paracoccidioidomycosis (PCM) granuloma. Clinical neurological diagnosis of a compressive spinal cord lesion was confirmed by spinal magnetic resonance imaging (MRI). Patient was submitted to surgery with total excision of the lesion. Histopathological analysis confirmed the diagnosis of PCM. Patient is on sulfamethoxazole/trimethoprim combined with fluconazole and is experiencing positive neurological recovery.
authors.affiliation: Hospital Evandro Chagas, IOC-FIOCRUZ, Rio de Janeiro, RJ, Brasil.
authors.forename: A C
authors.initials: AC
authors.lastname: do Valle
authors.forename: M
authors.initials: M
authors.lastname: Skacel
authors.forename: R L
authors.initials: RL
authors.lastname: Costa
authors.forename: C T
authors.initials: CT
authors.lastname: Ribeiro
authors.forename: N A
authors.initials: NA
authors.lastname: Montagna
authors.forename: L C
authors.initials: LC
authors.lastname: da Cruz
mesh_terms: D000328:Adult; D005500:Follow-Up Studies; D006099:Granuloma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010229:Paracoccidioidomycosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010264:Paraplegia / Q000209:etiology*; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000601:surgery