PMC10204149_01
Chylotorax due to juvenile paracoccidioidomycosis.
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Imaging tests performed during hospital admission revealed mesenteric, retroperitoneal, pelvic, inguinal, mediastinal, and hilar lymphadenopathy, hepatosplenomegaly, and large-volume ascites (Figure 1). During itraconazole therapy, the patient developed bilateral chylous pleural effusion (Figure 1, Table 1) with exacerbated chylous ascites.
Inguinal lymph node biopsy with fungal structures suggesting Paracoccidioides brasiliensis.
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