Herpes simplex Virus Pneumonitis in an Acute/Subacute Paracoccidioidomycosis Patient With Malabsorption Syndrome. Case-Report and Literature Review

Paracoccidioides sp.— Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the acute/subacute form (AF) of paracoccidioidomycosis (PCM), characterized by life-threatening abnormalities, such as fat and protein loss, lymphopenia, asci...

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Published inFrontiers in fungal biology Vol. 2; p. 805502
Main Authors Cavalcante, Ricardo S., Souza, Bruno S., Duarte, Iverson X., Moraes, Marcelo P. T., Coelho, Kunie I. R., Griva, Beatriz L., Pereira, Beatriz A. S., Calvi, Sueli A., Betini, Marluci, Mendes, Rinaldo P.
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LanguageEnglish
Published Frontiers Media S.A 10.02.2022
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Abstract Paracoccidioides sp.— Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the acute/subacute form (AF) of paracoccidioidomycosis (PCM), characterized by life-threatening abnormalities, such as fat and protein loss, lymphopenia, ascites, and intense immunosuppression. A 21-year-old woman presented the PCM AF with intense involvement of the abdominal and intestinal lymphoid organs, which leads to the malabsorption syndrome and severe immunosuppression. This patient developed a fatal-disseminated HSV infection associated with the paracoccidioidal disease. This case demonstrates that, in addition to the antigen-specific immunosuppression, some PCM patients can present a generalized cell-mediated immune depression and endogenous infection of latent microorganisms. On the best of our knowledge, this is the first report of an association between PCM and HSV infection.
AbstractList Paracoccidioides sp.— Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the acute/subacute form (AF) of paracoccidioidomycosis (PCM), characterized by life-threatening abnormalities, such as fat and protein loss, lymphopenia, ascites, and intense immunosuppression. A 21-year-old woman presented the PCM AF with intense involvement of the abdominal and intestinal lymphoid organs, which leads to the malabsorption syndrome and severe immunosuppression. This patient developed a fatal-disseminated HSV infection associated with the paracoccidioidal disease. This case demonstrates that, in addition to the antigen-specific immunosuppression, some PCM patients can present a generalized cell-mediated immune depression and endogenous infection of latent microorganisms. On the best of our knowledge, this is the first report of an association between PCM and HSV infection.
Paracoccidioides sp.—Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the acute/subacute form (AF) of paracoccidioidomycosis (PCM), characterized by life-threatening abnormalities, such as fat and protein loss, lymphopenia, ascites, and intense immunosuppression. A 21-year-old woman presented the PCM AF with intense involvement of the abdominal and intestinal lymphoid organs, which leads to the malabsorption syndrome and severe immunosuppression. This patient developed a fatal-disseminated HSV infection associated with the paracoccidioidal disease. This case demonstrates that, in addition to the antigen-specific immunosuppression, some PCM patients can present a generalized cell-mediated immune depression and endogenous infection of latent microorganisms. On the best of our knowledge, this is the first report of an association between PCM and HSV infection.
Author Souza, Bruno S.
Calvi, Sueli A.
Moraes, Marcelo P. T.
Coelho, Kunie I. R.
Duarte, Iverson X.
Griva, Beatriz L.
Mendes, Rinaldo P.
Pereira, Beatriz A. S.
Cavalcante, Ricardo S.
Betini, Marluci
AuthorAffiliation 1 Tropical Diseases Area, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
4 University Library, São Paulo State University–UNESP , Botucatu , Brazil
2 Department of Pathology, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
3 Nuclear Medicine Service, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
AuthorAffiliation_xml – name: 1 Tropical Diseases Area, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
– name: 2 Department of Pathology, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
– name: 3 Nuclear Medicine Service, School of Medicine, São Paulo State University—UNESP , Botucatu , Brazil
– name: 4 University Library, São Paulo State University–UNESP , Botucatu , Brazil
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  givenname: Ricardo S.
  surname: Cavalcante
  fullname: Cavalcante, Ricardo S.
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Copyright Copyright © 2022 Cavalcante, Souza, Duarte, Moraes, Coelho, Griva, Pereira, Calvi, Betini and Mendes. 2022 Cavalcante, Souza, Duarte, Moraes, Coelho, Griva, Pereira, Calvi, Betini and Mendes
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Edited by: Rogelio de J. Treviño-Rangel, Autonomous University of Nuevo León, Mexico
Reviewed by: Rafael Franco-Cendejas, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico; Carla Pagliari, University of São Paulo, Brazil
This article was submitted to Fungi-Animal Interactions, a section of the journal Frontiers in Fungal Biology
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Snippet Paracoccidioides sp.— Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the...
Paracoccidioides sp.—Herpes simplex virus (HSV) co-infection was not reported until now and malabsorption syndrome is a rare complication of the acute/subacute...
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SubjectTerms Fungal Biology
Herpes simplex pneumonitis
herpetic infection and malnutrition
malnutrition
Paracoccidioides brasiliensis
paracoccidioidomycosis
paracoccidioidomycosis-herpetic infection comorbidity
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Title Herpes simplex Virus Pneumonitis in an Acute/Subacute Paracoccidioidomycosis Patient With Malabsorption Syndrome. Case-Report and Literature Review
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https://pubmed.ncbi.nlm.nih.gov/PMC10512208
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Volume 2
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