title: Fungal infection by Paracoccidioides brasiliensis mimicking bone tumor.
abstract: 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.
authors.affiliation: Division of Pediatric Oncology, Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil. etvalera@hcrp.fmrp.usp.br
authors.forename: Elvis Terci
authors.initials: ET
authors.lastname: Valera
authors.forename: Bianca Maria
authors.initials: BM
authors.lastname: Mori
authors.forename: Edgard Eduard
authors.initials: EE
authors.lastname: Engel
authors.forename: Igor Santos
authors.initials: IS
authors.lastname: Costa
authors.forename: Daniel Ferraciolli
authors.initials: DF
authors.lastname: Brandão
authors.forename: Marcello Henrique
authors.initials: MH
authors.lastname: Nogueira-Barbosa
authors.forename: Rosane Gomes de Paula
authors.initials: RG
authors.lastname: Queiroz
authors.forename: Vanessa da Silva
authors.initials: Vda S
authors.lastname: Silveira
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: Scrideli
authors.forename: Luiz Gonzaga
authors.initials: LG
authors.lastname: Tone
mesh_terms: 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*