Biliary Paracoccidioidomycosis: An Unusual Infection Simulating Malignant Neoplasm

AbstractParacoccidioidomycosis is a systemic granulomatous disease caused by the dimorphic fungus Paracoccidioides brasiliensis and is restricted to Latin America. It normally affects lungs, skin and lymph nodes. Abdominal organs are usually not involved. In rare cases paracoccidioidomycosis may sim...

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Bibliographic Details
Published in:	Annals of hepatology Vol. 18; no. 1; pp. 258 - 262
Main Authors:	Steinbrück, Klaus, Fernandes, Reinaldo
Format:	Journal Article
Language:	English
Published:	Mexico Elsevier 2019
Subjects:	Antifungal Agents - therapeutic use Bile Duct Diseases - diagnosis Bile Duct Diseases - microbiology Bile Duct Diseases - therapy Bile Duct Neoplasms - diagnosis Biliary tract Biopsy Cholangiocarcinoma Cholangiocarcinoma - diagnosis Cholangiography Cholecystectomy Diagnosis, Differential Female Gastroenterology and Hepatology Hepatectomy Humans Liver Magnetic Resonance Imaging Male Middle Aged Paracoccidioides - isolation & purification Paracoccidioidomycosis Paracoccidioidomycosis - diagnosis Paracoccidioidomycosis - microbiology Paracoccidioidomycosis - therapy Young Adult Biliary tract Paracoccidioidomycosis Liver Cholangiocarcinoma
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Summary:	AbstractParacoccidioidomycosis is a systemic granulomatous disease caused by the dimorphic fungus Paracoccidioides brasiliensis and is restricted to Latin America. It normally affects lungs, skin and lymph nodes. Abdominal organs are usually not involved. In rare cases paracoccidioidomycosis may simulate neoplasm. Herein we describe our experience with four cases of paracoccidioidomycosis mimicking cholangiocarcinoma. To the best of our knowledge, this is the largest case series on this subject produced in English. Paracoccidioidomycosis must be considered as a differential diagnosis of cholangiocarcinoma, especially in individuals who come from endemic areas.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1665-2681
DOI:	10.5604/01.3001.0012.7935