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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS VASCULAR PAPERS
The Journal of Cardiovascular Surgery 1998 October;39(5):573-6
Paracoccidioidomycotic aortitis with embolization to the lower limbs. Report of a case and review of the literature
Cherri J., Da Silva Freitas M. A., Sanches Llorach-Velludo M. A., Piccinato C. E.
From the Department of Surgery Orthopedics and Traumatology Faculty of Medicine of Ribeirão Preto University of São Paulo, Ribeirão Preto, SP, Brazil
The authors report a clinical case of a 60-year-old Caucasian man, with two episodes of arterial embolization in the lower limbs. A microscope investigation of the emboli revealed that they originated from fungal aortitis caused by Paracoccidioides brasiliensis. A review of aortic infections showed only one similar report of this rare clinical expression of blastomycosis. The authors suggest a routine postoperative search for emboli followed by culture and histopathology.