title: Extra-pulmonary manifestations of paracoccidioidomycosis associated with acquired immunodeficiency syndrome: a case report.
abstract: We present a patient with Paracoccidioidomycosis/HIV coinfection which has been investigated because of chronic monoarthritis and mucocutaneous lesions. A biopsy of the synovial membrane and skin revealed structures consistent with Paracoccidioides brasiliensis. At diagnosis, the count of CD4 + T cells was 44 cells/mm3. We emphasize the importance of clinical suspicion of Paracoccidioidomycosis in patients with HIV/AIDS who live in or are from risk areas.
authors.affiliation: Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Resident in Infectious Diseases at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: Izabella Picinin
authors.initials: IP
authors.lastname: Safe
authors.affiliation: Universidade Federal do Amazonas, Manaus, Brazil, MD, Dermatologist. Assistant Professor at Universidade Federal do Amazonas. Supervisor of medical residency in Dermatology at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: Fabio Francesconi do
authors.initials: FF
authors.lastname: Valle
authors.affiliation: Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Resident in Dermatology at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: Daniela Cristina Caetano
authors.initials: DC
authors.lastname: Maia
authors.affiliation: Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Resident in Dermatology at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Agonio
authors.affiliation: Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, Bacteriology Management at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: Rossicléia Lins
authors.initials: RL
authors.lastname: Monte
authors.affiliation: Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, Manaus, Brazil, MD, Pathologist. Pathological Anatomy Management at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil.
authors.forename: José de Ribamar
authors.initials: Jde R
authors.lastname: Araújo
authors.affiliation: Universidade do Estado do Amazonas, Manaus, Brazil, MD, PhD Infectious Diseases specialist. Adjunct Professor at Universidade do Estado do Amazonas. Supervisor of medical residency in Infectious Diseases at Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, (FMT-HVD), Manaus, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Cordeiro-Santos
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001706:Biopsy; D018791:CD4 Lymphocyte Count; D060085:Coinfection / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D010229:Paracoccidioidomycosis / Q000473:pathology*; D013583:Synovial Membrane / Q000473:pathology