RESUMO
Meningitis is a common evolution in progressive disseminated histoplasmosis in children, and is asymptomatic in many cases. In leukemia, the impaired of the T cells function can predispose to the disseminated form. The attributed mortality rate in this case is 20 percent-40 percent and the relapse rate is as high as 50 percent; therefore, prolonged treatment may be emphasized. We have described a child with acute myeloid leukemia (AML), that developed skin lesions and asymptomatic chronic meningitis, with a good evolution after prolonged treatment with amphotericin B deoxycholate followed by fluconazole.
Assuntos
Adolescente , Humanos , Masculino , Histoplasmose/diagnóstico , Leucemia Mieloide/imunologia , Meningite Fúngica/diagnóstico , Doença Aguda , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Doença Crônica , Combinação de Medicamentos , Quimioterapia Combinada , Ácido Desoxicólico/uso terapêutico , Fluconazol/uso terapêutico , Histoplasmose/tratamento farmacológico , Hospedeiro Imunocomprometido , Leucemia Mieloide/microbiologia , Meningite Fúngica/tratamento farmacológico , Meningite Fúngica/microbiologia , Resultado do TratamentoRESUMO
Meningitis is a common evolution in progressive disseminated histoplasmosis in children, and is asymptomatic in many cases. In leukemia, the impaired of the T cells function can predispose to the disseminated form. The attributed mortality rate in this case is 20%-40% and the relapse rate is as high as 50%; therefore, prolonged treatment may be emphasized. We have described a child with acute myeloid leukemia (AML), that developed skin lesions and asymptomatic chronic meningitis, with a good evolution after prolonged treatment with amphotericin B deoxycholate followed by fluconazole.