Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Hypercalcemia in a patient with disseminated paracoccidioidomycosis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Hypercalcemia in a patient with disseminated paracoccidioidomycosis a case report Rafael Moura Almeida Loureno Cezana Daniela Miti Lemos Tsukumo Marco Antônio de Carvalho-Filho and Mário José Abdalla Saad Address Department of Internal Medicine State University of Campinas 13081-970 Campinas SP Brazil Email Rafael Moura Almeida - rafaelmouraa@ Loureno Cezana - lcezana@ Daniela Miti Lemos Tsukumo - danimiti@ Marco Antônio de Carvalho-Filho - macarvalhofilho@ Mário José Abdalla Saad - msaad@ Corresponding author Published 8 August 2008 Received 16 January 2008 Journal of Medical Case Reports 2008 2 262 doi 1752-1947-2-262 Accepted 8 August 2008 This article is available from http content 2 1 262 2008 Almeida et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Hypercalcemia is well described in various granulomatous disorders such as sarcoidosis tuberculosis berylliosis leprosy and fungal infections. However the association of Paracoccidioides brasiliensis and hypercalcemia is rare to the best of our knowledge only two cases have previously been reported and neither had a clear documentation of the etiology of the hypercalcemia. Case presentation We report the case of a 22-year-old man in whom disseminated infection with paracoccidioidomycosis was associated with hypercalcemia. The patient had a high normal serum level of 1 25-dihydroxyvitamin D and a suppressed parathyroid hormone value an indication that the hypercalcemia was not mediated by parathyroid hormone and might be associated with 1 25-dihydroxyvitamin D. Conclusion The episode .
