{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:25:25Z","timestamp":1771068325736,"version":"3.50.1"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T00:00:00Z","timestamp":1349654400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Paracoccidioidomycosis is a type of mycosis that is endemic to Brazil and is triggered by the fungus <jats:italic>Paracoccidioides brasiliensis<\/jats:italic>. Isolated bone involvement in this disease is very rare, especially in children. To the best of our knowledge this report documents the first case of an immunocompetent pediatric patient in which paracoccidioidomycosis of the hip articulation was the sole manifestation of the disease (that is, there were no pulmonary or skin lesions).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>An 11-year-old Brazilian Caucasian boy from a rural area was examined in the orthopedic ward of our emergency department. Our patient reported a three-month history of pain in the right hip with intermittent claudication and also complained of recurring episodes of intense pain and an inability to walk, which he had been experiencing for the previous five days. He additionally presented with a fever that had persisted for two days. Our patient\u2019s medical history did not include any clinical respiratory manifestations, skin lesions, history of trauma or immunosuppression risk factors.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This is one of the very few reported cases of isolated articular involvement in osteomyelitis in a pediatric immunocompetent patient. Paracoccidioidomycosis should be considered among the differential diagnoses in such cases, especially in cases of patients who reside in rural areas where the condition is considered to be endemic, in order to administer the proper course of treatment in a timely fashion and improve the chances of a favorable prognosis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1752-1947-6-342","type":"journal-article","created":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T14:14:21Z","timestamp":1349705661000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Osteomyelitis and pyoarthritis resulting from local paracoccidioidomycosis in an immunocompetent patient: a case report"],"prefix":"10.1186","volume":"6","author":[{"given":"Michel Santana","family":"Michelan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eloy de \u00c1vila","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Furtado","family":"Freitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Hoeller","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00edlia Magri","family":"Milano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soraya Silveira","family":"Monteiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2012,10,8]]},"reference":[{"key":"2291_CR1","first-page":"194","volume":"31","author":"RM Castro","year":"1976","unstructured":"Castro RM, Del Negro G: Particularidades cl\u00ednicas da paracoccidioidomicose na crian\u00e7a. Rev Hosp Cl\u00edn Faculd Med S\u00e3o Paulo. 1976, 31: 194-198.","journal-title":"Rev Hosp Cl\u00edn Faculd Med S\u00e3o Paulo"},{"key":"2291_CR2","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1177\/112070000301300312","volume":"13","author":"CHF Picado","year":"2003","unstructured":"Picado CHF, Garcia FL, Barbieri CH: Isolated hip infection by Paracoccidioides brasiliensis: a case report. Hip Intern. 2003, 13: 193-195.","journal-title":"Hip Intern"},{"key":"2291_CR3","first-page":"65","volume":"2","author":"MEI Petlik","year":"1980","unstructured":"Petlik MEI, Porta G, Kiss MHB, Oselka GW: Paracoccidioidomicose generalizada com comprometimento \u00f3sseo em crian\u00e7as: relato de dois casos. 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