Musculoskeletal ultrasound findings in paracoccidioidomycosis.
Paracoccidioidomycosis is a fungal infection endemic to South America. The infection is usually asymptomatic and mostly affects the upper and lower respiratory tracts with clinical-radiological dissociation. Joint involvement is rare with no specific pattern or radiological injury. We report a case of paracoccidioidomycosis in which the patient's initial symptoms were hoarseness and arthritis. After an ultrasound examination, we performed the differential diagnosis of other noninfectious arthropathies and analysis of the material collected, which revealed infection with the fungus Paracoccidioides brasiliensis.
Department of Rheumatology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil. Electronic address: mendocaja@ig.com.br.
José Alexandre
JA
Mendonça
Department of Rheumatology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
Faustino
F
Peron Filho
Department of Rheumatology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
Nádia Bossolan
NB
Schincariol
Department of Rheumatology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
Cláudia Valéria
CV
Vierhout
Department of Rheumatology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil.
José Roberto
JR
Provenza
D003937:Diagnosis, Differential; D006801:Humans; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging*; D010228:Paracoccidioides / Q000302:isolation & purification*; D010229:Paracoccidioidomycosis / Q000000981:diagnostic imaging*; D013020:South America; D014463:Ultrasonography / Q000379:methods*
Arthritis; Artrite; Paracoccidioidomicose; Parcoccidioidomycosis; Sinovite; Synovitis; Tenossinovite; Tenosynovitis; Ultrasound; Ultrassonografia