Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(04): 352-356
DOI: 10.1055/s-0035-1571267
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Medullary Paracoccidioidomycosis Treated Successfully with Oral Itraconazole

Timóteo A. de L. Almeida
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Adroaldo B. Mallmann
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Paulo S. Crusius
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Charles A. Carazzo
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Marcelo U. Crusius
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Pedro Biasi
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Matheus P. Brunet
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Rafael Espanhol
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Eduardo F. M. Baldissera
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
,
Wellinton Souza
1   Department of Neurology and Neurosurgery, Hospital São Vicente de Paulo, Passo Fundo, Rio Grande do Sul, Brazil
› Author Affiliations
Further Information

Publication History

14 September 2015

01 December 2015

Publication Date:
02 March 2016 (online)

Abstract

Paracoccidioidomycosis is the most prevalent endemic mycosis in Latin America, with a great incidence in Brazil. Although a common disease, its medullary form is rare. We present a case report of medullary paracoccidioidomycosis presenting with subacute, progressive, spinal cord symptoms, and with multiple expansive lesions into the cervical and thoracic spinal cord. The patient was treated with itraconazole and showed good clinical and radiologic recovery upon six months of follow-up.

 
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