{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:26:35Z","timestamp":1777937195290,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T00:00:00Z","timestamp":1523577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Mult Scler"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Natalizumab (NTZ) is a monoclonal antibody with an immunosuppressive effect that reduces the inflammation of the central nervous system, and it has been used for the treatment of relapsing-remitting multiple sclerosis (RRMS). In patients with low cellular immune response, systemic mycosis arising from endemic areas may occur.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusion:<\/jats:title>\n                    <jats:p>In this article, we will describe a case of paracoccidioidomycosis as a complication to treatment with NTZ in an RRMS patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1352458518763091","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T04:52:34Z","timestamp":1523595154000},"page":"1002-1004","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Pulmonary paracoccidioidomycosis associated with the use of natalizumab in multiple sclerosis"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6299-7323","authenticated-orcid":false,"given":"Kelson James","family":"Almeida","sequence":"first","affiliation":[{"name":"Department of Neurology, Central Institute, Cl\u00ednicas Hospital, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raissa Viera","family":"Barreto-Soares","sequence":"additional","affiliation":[{"name":"Facid Devry Faculty of Medicine, Teresina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raimundo Nonato","family":"Campos-Sousa","sequence":"additional","affiliation":[{"name":"Department of Neurology, Federal University of Piau\u00ed, Teresina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Gra\u00e7as","family":"Campos-Sousa","sequence":"additional","affiliation":[{"name":"Department of Neurology, Federal University of Piau\u00ed, Teresina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edson","family":"Bor-Seng-Shu","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Neurology, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,4,13]]},"reference":[{"key":"bibr1-1352458518763091","doi-asserted-by":"publisher","DOI":"10.1586\/14737175.4.4.571"},{"key":"bibr2-1352458518763091","doi-asserted-by":"publisher","DOI":"10.1590\/0004-282X20140142"},{"key":"bibr3-1352458518763091","doi-asserted-by":"publisher","DOI":"10.1590\/S0037-86822006000300017"},{"key":"bibr4-1352458518763091","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-008-0061-1"},{"key":"bibr5-1352458518763091","doi-asserted-by":"publisher","DOI":"10.1038\/nrd1752"}],"container-title":["Multiple Sclerosis Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1352458518763091","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1352458518763091","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1352458518763091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:54:08Z","timestamp":1777694048000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1352458518763091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,13]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1177\/1352458518763091"],"URL":"https:\/\/doi.org\/10.1177\/1352458518763091","relation":{},"ISSN":["1352-4585","1477-0970"],"issn-type":[{"value":"1352-4585","type":"print"},{"value":"1477-0970","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,13]]}}}