Chylothorax and chylous ascites due to juvenile paracoccidioidomycosis: a case report

• Published in: Revista da Sociedade Brasileira de Medicina Tropical Vol. 56; p. e06052022
• Main Authors: Santos, Ana Paula Freitas Bahia Dos, Russo, Tomás Varella Costa, Pascuotte, Beatriz, Visconde, Luis Felipe Silva, Luetz, Adryelle Carolynne Nogueira, Sarris, Andrey Biff, Rocha, Matheus Dias Girão, Puga, Fernanda Guioti, Gaspar, Gilberto Gambero, Bollela, Valdes Roberto, Martinez, Roberto
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Medicina Tropical - SBMT 01-01-2023; Sociedade Brasileira de Medicina Tropical (SBMT)
• Subjects: Adolescent; Case Report; Chylothorax; Chylous Ascites; Fever; Humans; Lymphadenopathy; Paracoccidioidomycosis; TROPICAL MEDICINE; Chylous Ascites; Paracoccidioidomycosis; Chylothorax
• ISSN: 0037-8682; 1678-9849; 1678-9849
• DOI: 10.1590/0037-8682-0605-2022

Paracoccidioidomycosis (PCM) is a systemic fungal infection caused by Paracoccidioides species. Chylothorax is a rare complication of PCM. A 16-year-old adolescent presented daily fever, lymphadenomegaly, sweating, weight loss, ventilatory-dependent pain, and dysphagia, which confirmed PCM. During treatment, the patient developed chylothorax and chylous ascites. Chronic inflammatory and fibrotic lymphadenopathy may obstruct lymphatic vessels, resulting in the extravasation of lymph into the abdomen or pleural cavities. Chylothorax is one of several complications of PCM and can lead to respiratory insufficiency, even in patients undergoing antifungal therapy.