XI International Meeting on Paracoccidioidomycosis

XI International Meeting on Paracoccidioidomycosis

Resume:73-9

Poster (Painel)

73-9	PRIMARY MANIFESTATION OF PARACOCCIDIODEMICOSE INFRA-EPIEPIGLOTE: CASE REPORT
Authors:	Eduardo Alexandre Loth (UNIOESTE - Universidade Estadual do Oeste do Paraná) ; Emerson Machado (PREVENÇAO & DIAGNOSE - Laboratório Prevenção e Diagnose) ; Fabio Negreti (PREVENÇAO & DIAGNOSE - Laboratório Prevenção e Diagnose) ; Emerson José Venâncio (UEL - Universidade Estadual de Londrina) ; Rinaldo Ferreira Gandra (UNIOESTE - Universidade Estadual do Oeste do Paraná)

Abstract

INTRODUCTION Paracoccidioidomycosis (PCM) is one of the most important and prevalent systemic mycosis in Latin America. The PCM is acquired mainly by upper respiratory tract through inhalation of the conidia Paracoccidioides brasiliensis (Pb) which are installed initially in the lung. The aim is to present a case report of a patient with primary manifestation of PCM in the infra-glottis. PATIENT AND METHODS Patient L. T., male, age 52, farmer, white, sought the public health service in the city of Foz do Iguaçu / PR, with a history of previous hospitalization for respiratory distress over 12 days, smoking, sedentary, a long time alcoholism, COPD, hypertension and compensated heart, reported the use of digoxin, ipratropium bromide, carvedilol with paracetamol codeine phosphate and captopril. The patient was hospitalized at the time of severe dyspnea, dysphonia, exophytic lesion, examination, auscultation revealed absence of breath sounds and presence of noise transmission. It was the surgical procedure adopted urgent tracheotomy, leaving the hospital the next day. On return to the clinic, the patient was in a good general condition with stable vital signs, ruddy, hydrated, no complaints of pain, with little secretion tracheostomy, pulmonary auscultation breath sounds present no adventitious cardiac risk Goldmann I and examinations X-ray not suggestive of infectious lung diseases, blood cell count within the normal range, and hepatic activity within normal limits. By laryngoscopy exophytic lesion was found significant infraepiglótico and edema causing partial obstruction of the larynx, the histological diagnosis was laryngeal cancer hypothesis. Direct mycological examination was performed with sputum negative for Pb The patient was readmitted for biopsy of the lesion, where structures were found compatible with Pb after PCM infraepiglote diagnosed, the patient was directed to outpatient treatment and died two months after. CONCLUSION The case reports laryngeal complications caused by tumor in the structure, which though not vital, may offer significant imminent risk to life.

Keyword: Paracoccidioidomycosis, Paracoccidioides brasiliensis, infraepligote, dysphonia, dyspnea

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