CASE REPORTS  VASCULAR PAPERS 

The Journal of Cardiovascular Surgery 1998 October;39(5):573-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

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.