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Demonstrates neurological recovery in a patient with disseminated PCM and pulmonary-spine fistula, suggesting effective surgical and antifungal treatments.
Paracoccidioidomycosis (PCM) rarely involves the spine. We report a 55-year-old man with disseminated PCM presenting with thoracic spinal cord compression and an unprecedented pulmonary-spine fistula identified intraoperatively. Diagnosis was confirmed by histopathology and mycology. The patient underwent surgical decompression and stabilization followed by itraconazole, achieving complete neurological recovery. This case highlights a unique complication of PCM and supports combined surgical and antifungal management in cases with neurological compromise.
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Campos et al. (2026) studied this question.
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