Publications by authors named "Joao Carlos de Almeida Soares"
Article Synopsis
- Paracoccidioidomycosis (PCM) is a fungal infection found mainly in Latin America, particularly Brazil, and can affect the gastrointestinal tract, although this is rare and mainly seen in acute cases.
- A 42-year-old man in Rio de Janeiro had chronic diarrhea and was misdiagnosed with Crohn's disease, but his condition worsened after receiving immunosuppressive therapy, resulting in significant weight loss and additional symptoms.
- After diagnosis through skin lesion examination and treatment with itraconazole, he underwent surgery for appendicitis which confirmed the fungal infection, but he achieved clinical recovery after 24 months, highlighting the need to consider PCM in patients with chronic diarrhea before starting immunosuppressive treatments in endemic
Introduction: The diagnosis and classification of megaesophagus can be challenging in patients with Chagas disease. The present study aimed to evaluate the agreement between upper endoscopies and esophagographies for the diagnosis and classification of megaesophagus in Chagas disease.
Methods: A cross-sectional study of 50 patients with Chagas disease with upper digestive symptoms was undertaken.
Hepatic Disease with Portal Hypertension and Acute Juvenile Paracoccidioidomycosis: A Report of Two Cases and Literature Review.
Mycopathologia
October 2017
Paracoccidioidomycosis (PCM) is a neglected systemic mycosis endemic to Latin America caused by dimorphic fungi of the genus Paracoccidioides. The acute juvenile PCM is a severe type of presentation that usually affects young vulnerable patients and rarely progresses to portal hypertension. Here, two cases of liver disease and portal hypertension as complications of acute juvenile PCM are reported.
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