Disseminated Paracoccidioidomycosis
نویسندگان
چکیده
A 30-year-old man with no significant medical history, who had been working his entire life as a gold miner in rural Colombia, came to the infectious disease outpatient clinic at our institution with a two-month history of high spiking fevers, generalized lymphadenopathy (Figure 1), right lower quadrant pain, and vertigo. He did not report any weight loss or night sweats. He also reported headache, diplopia, and somnolence that developed over the past two weeks. At physical examination, he had a Glasgow coma scale of 13/15, a positive Romberg test result, ataxia, somnolence, a right third-nerve palsy, diffuse lymphadenopathy, and mild abdominal tenderness in the right lower quadrant. He was hospitalized, and computed tomography of the neck, thorax, and abdomen showed diffuse lymphadenopathy in cervical
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