{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T00:32:12Z","timestamp":1714609932866},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Co-occurrence of paracoccidioidomycosis and strongyloidiasis in immunosuppressed patients, particularly those infected with human T-lymphotropic virus type 1\/2, is infrequent. We describe the case of a Peruvian farmer from the central jungle with human T-lymphotropic virus type 1\/2 infection, with 2 months of illness characterized by respiratory and gastrointestinal symptoms associated with fever, weight loss, and enlarged lymph nodes. <jats:italic>Strongyloides stercoralis<\/jats:italic> and <jats:italic>Paracoccidioides brasiliensis<\/jats:italic> were isolated in sputum and bronchoalveolar lavage samples, respectively. The clinical evolution was favorable after the patient received ivermectin and amphotericin B. We hypothesize that autoinfestation by <jats:italic>S. stercoralis<\/jats:italic> in human T-lymphotropic virus type 1\/2\u2013infected patients may contribute to the disseminated presentation of <jats:italic>Paracoccidioides<\/jats:italic> spp. Understanding epidemiological context is crucial for suspecting opportunistic regional infections, particularly those that may coexist in immunosuppressed patients.<\/jats:p>","DOI":"10.4269\/ajtmh.23-0171","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T19:25:11Z","timestamp":1711481111000},"page":"961-964","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Disseminated Paracoccidioidomycosis and Strongyloides Hyperinfection in a Patient with Human T-Lymphotropic Virus Type 1\/2 Infection"],"prefix":"10.4269","volume":"110","author":[{"given":"Juan","family":"Montenegro-Idrogo","sequence":"first","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Cient\u00edfica del Sur, Lima, Per\u00fa;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Chiappe-Gonzalez","sequence":"additional","affiliation":[{"name":"Instituto de Investigaciones en Ciencias Biom\u00e9dicas, Universidad Ricardo Palma, Lima, Per\u00fa;"},{"name":"Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo, Lima, Per\u00fa;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esperanza","family":"Vicente-Lozano","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Enfermedades Neopl\u00e1sicas, Lima, Per\u00fa;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gonzalo","family":"Cornejo-Venegas","sequence":"additional","affiliation":[{"name":"Universidad Peruana de Ciencias Aplicadas, Chorrillos, Per\u00fa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristhian","family":"Resurrecci\u00f3n-Delgado","sequence":"additional","affiliation":[{"name":"Instituto de Investigaciones en Ciencias Biom\u00e9dicas, Universidad Ricardo Palma, Lima, Per\u00fa;"},{"name":"Servicio de Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo, Lima, Per\u00fa;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Clin Microbiol Rev","first-page":"e0023321","article-title":"Paracoccidioidomycosis: Current status and future trends","volume":"35","author":"Hahn","year":"2022"},{"key":"b2","series-title":"J Fungi (Basel)","first-page":"1098","article-title":"Paracoccidioidomycosis: What we know and what is new in epidemiology, diagnosis, and treatment","volume":"8","author":"Pe\u00e7anha","year":"2022"},{"key":"b3","series-title":"Rev Peru Med Exp Salud Publica","first-page":"352","article-title":"Sporotrichosis and paracoccidioidomycosis in Peru: Experiences in prevention and control","volume":"31","author":"Zurita","year":"2014"},{"key":"b4","series-title":"Am J Trop Med 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