Brasil
| Editorial
Paracoccidioidomycosis: an unusual presentation in a young girl disclosing an unnoted HIV-infection
Fecha
2010-02-01Registro en:
Medical Mycology. Abingdon: Taylor & Francis Ltd, v. 48, n. 1, p. 182-187, 2010.
1369-3786
10.3109/13693780902893405
WOS:000274739900023
8789480458377552
8084974543029515
7528116925519142
Autor
Universidade Estadual Paulista (Unesp)
Resumen
The association of paracoccidioidomycosis with AIDS is apparently less frequent than expected. The authors present an unusual case of paracoccidioidomycosis in a 13-year-old female student which was later found to be the first opportunistic infection in the course of the patient's HIV-infection. The clinical presentation followed an accidental incised wound on the palmar region initially described as a 'sporotrichotic-chancre'. After good response under sulfamethoxazole-trimethoprin, the patient relapsed and presented an associated oral candidiasis. HIV-infection was documented and additional investigation showed CD4(+) T-cells=22/mm(3), CD8(+)=280 cell/mm(3) and viral load=4,043 log. This case report presents an uncommon dermatological-clinical picture in the youngest patient in which such association has been reported to date.