title: [Paracoccidioidomycosis in pediatric patients: a description of 4 cases].
abstract: BACKGROUND
  Paracoccidioidomycosis is the most frequent systemic mycosis in Latin America, caused by the dimorphic fungus Paracoccidioides. Paracoccidioidomycosis in children is uncommon. Our aim is to describe clinical features of patients who had a confirmed diagnosis of paracoccidioidomycosis in our hospital in the last 10 years.
  
  
  METHODS
  We describe 4 cases of paracoccidioidomycosis in previously healthy children from the north of our country. Diagnoses were made by biopsy or culture.
  
  
  CONCLUSIONS
  The diagnosis of paracoccidioidomycosis should be considered in a patient coming from regions where Paracoccidioides is endemic, and presenting with a lymphoproliferative syndrome, anemia, eosinophilia and hypergammaglobulinemia.
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. Electronic address: taiczmoira@yahoo.com.ar.
authors.forename: Moira
authors.initials: M
authors.lastname: Taicz
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Rosanova
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: David
authors.initials: D
authors.lastname: Bes
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: Maria Laura
authors.initials: ML
authors.lastname: Lisdero
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: Viviana
authors.initials: V
authors.lastname: Iglesias
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: Patricia
authors.initials: P
authors.lastname: Santos
authors.affiliation: Servicio de Epidemiología e Infectología, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
authors.forename: Griselda
authors.initials: G
authors.lastname: Berberian
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000740:Anemia / Q000209:etiology; D000935:Antifungal Agents / Q000627:therapeutic use; D001118:Argentina; D002648:Child; D002675:Child, Preschool; D003840:Deoxycholic Acid / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004338:Drug Combinations; D019353:Endemic Diseases; D005260:Female; D005334:Fever / Q000209:etiology; D016469:Fungemia / Q000175:diagnosis; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D045823:Ileus / Q000209:etiology; D017964:Itraconazole / Q000627:therapeutic use; D008206:Lymphatic Diseases / Q000209:etiology; D008232:Lymphoproliferative Disorders / Q000175:diagnosis; D008297:Male; D009369:Neoplasms / Q000175:diagnosis; D010014:Osteolysis / Q000209:etiology; D010229:Paracoccidioidomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D013163:Splenomegaly / Q000209:etiology
chemical_list: D000935:Antifungal Agents; D004338:Drug Combinations; D003840:Deoxycholic Acid; D017964:Itraconazole; D000666:Amphotericin B; C059765:amphotericin B, deoxycholate drug combination
keywords: Endemic mycosis; Micosis endémica; Paracoccidioidomicosis; Paracoccidioidomycosis; Pediatrics; Pediatría