do Valle A C, Skacel M, Costa R L, Ribeiro C T, Montagna N A, da Cruz L C
Hospital Evandro Chagas, IOC-FIOCRUZ, Rio de Janeiro, RJ, Brasil.
Rev Inst Med Trop Sao Paulo. 1998 May-Jun;40(3):203-7. doi: 10.1590/s0036-46651998000300014.
The authors report a case of paraplegia caused by a lumbar intraspinal paracoccidioidomycosis (PCM) granuloma. Clinical neurological diagnosis of a compressive spinal cord lesion was confirmed by spinal magnetic resonance imaging (MRI). Patient was submitted to surgery with total excision of the lesion. Histopathological analysis confirmed the diagnosis of PCM. Patient is on sulfamethoxazole/trimethoprim combined with fluconazole and is experiencing positive neurological recovery.
作者报告了一例由腰椎脊髓内副球孢子菌病（PCM）肉芽肿引起的截瘫病例。脊髓磁共振成像（MRI）证实了脊髓受压病变的临床神经学诊断。患者接受了病变全切手术。组织病理学分析确诊为PCM。患者正在服用磺胺甲恶唑/甲氧苄啶联合氟康唑，神经功能正在积极恢复。
