title: Paracoccidioidomycotic aortitis with embolization to the lower limbs. Report of a case and review of the literature.
abstract: The authors report a clinical case of a 60-year-old Caucasian man, with two episodes of arterial embolization in the lower limbs. A microscope investigation of the emboli revealed that they originated from fungal aortitis caused by Paracoccidioides brasiliensis. A review of aortic infections showed only one similar report of this rare clinical expression of blastomycosis. The authors suggest a routine postoperative search for emboli followed by culture and histopathology.
authors.affiliation: Department of Surgery, Orthopedics and Traumatology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
authors.forename: J
authors.initials: J
authors.lastname: Cherri
authors.forename: M A
authors.initials: MA
authors.lastname: Freitas
authors.forename: M A
authors.initials: MA
authors.lastname: Llorach-Velludo
authors.forename: C E
authors.initials: CE
authors.lastname: Piccinato
mesh_terms: D000792:Angiography; D001025:Aortitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D017128:Embolectomy; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010228:Paracoccidioides / Q000302:isolation & purification*; D010229:Paracoccidioidomycosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D011150:Popliteal Artery; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed