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©2013 UpToDate ® Print Email Clinical manifestations at hospital admission in 70 episodes of paracoccidioidomycosis in children and adolescents Clinical manifestation Number Percent Lymph node enlargement 61 87.1 Fever 53 75.7 Weight loss 53 75.7 Weakness 34 48.6 Pallor 29 41.4 Hepatomegaly 28 40.0 Splenomegaly 25 35.7 Osteoarticular pain or tumefaction 14 20.0 Jaundice 9 12.9 Cutaneous lesions 7 10.0 Lymph node fistulization 7 10.0 Abdominal pain 5 7.1 This study included 63 children and adolescents under 15 years of age who developed 70 episodes of paracoccidioidomycosis. Reproduced with permission from: Pereira, RM, Bucaretchi, F, Barison, EM, et al. Paracoccidioidomycosis in children: clinical presentation, follow-up and outcome. Rev Inst Med Trop S Paulo 2004; 46:127. Copyright © 2004 Instituto de Medicina Tropical de São Paulo.