Alcántara Figueroa Christian, Verástegui Rosa, Aphang Lam Meylin, Cáceres Alpaca Daniel
Servicio de Gastroenterología, Hospital Nacional Arzobispo Loayza. Lima, Perú.
Servicio de Medicina Interna, Hospital Nacional Arzobispo Loayza. Lima, Perú.
Rev Gastroenterol Peru. 2017 Jan-Mar;37(1):77-81.
Paracoccidioidomycosis is the most prevalent mycosis in South America. Mucocutaneous and lymph node involvement is the most frequent affectation of this disease in our country, with the intestinal commitment rarely reported. We report 4 cases of colonic manifestation with abdominal pain, chronic diarrhea, and weight loss. The diagnosis was made with biopsy and Gomori stain. The average age was 29 years old. The colonoscopy showed many ulcers in the ileum distal and colon. We found VIH as comorbidity in one patient.
副球孢子菌病是南美洲最常见的真菌病。在我国，皮肤黏膜和淋巴结受累是该病最常见的表现，肠道受累情况鲜有报道。我们报告4例有腹痛、慢性腹泻和体重减轻的结肠表现病例。通过活检和戈莫里染色进行诊断。平均年龄为29岁。结肠镜检查显示回肠末端和结肠有许多溃疡。我们发现1例患者合并感染艾滋病毒。
