Fungal infection by Paracoccidioides brasiliensis mimicking bone tumor.
Paracoccidioides brasiliensis infection causes a systemic mycosis originally described in Latin America but with current reports of worldwide distribution. The clinical presentation of paracoccidiodomycosis as an isolated long-bone lesion in children is quite unusual. This article describes a 10-year-old male with a lytic femoral bone lesion caused by P. brasiliensis infection that was first suspected of being of neoplasic etiology. The text also emphasizes the importance of including endemic fungal infections in the differential diagnosis of bone lesions.
Valera
Elvis Terci
ET
Division of Pediatric Oncology, Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil. etvalera@hcrp.fmrp.usp.br
Mori
Bianca Maria
BM
Engel
Edgard Eduard
EE
Costa
Igor Santos
IS
Brandão
Daniel Ferraciolli
DF
Nogueira-Barbosa
Marcello Henrique
MH
Queiroz
Rosane Gomes de Paula
RG
Silveira
Vanessa da Silva
Vda S
Scrideli
Carlos Alberto
CA
Tone
Luiz Gonzaga
LG
D001847:Bone Diseases / Q000175:diagnosis*; D001859:Bone Neoplasms / Q000175:diagnosis*; D002648:Child; D005266:Femoral Neoplasms / Q000175:diagnosis*; D005272:Femur Neck / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010228:Paracoccidioides; D010229:Paracoccidioidomycosis / Q000175:diagnosis*