Revista da Sociedade Brasileira de Medicina Tropical ()

Paracoccidioidomycosis with sarcoid-like lesions:a diagnostic challenge

  • Marilda Aparecida Milanez Morgado de Abreu,
  • Joel Carlos Lastória,
  • Antonio Luiz de Arruda Mattos,
  • Maurício Mota de Avelar Alchorne

DOI
https://doi.org/10.1590/0037-8682-0246-2016
Journal volume & issue
Vol. 50, no. 2
pp. 273 – 276

Abstract

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Abstract Clinical presentation of paracoccidioidomycosis (PCM) can be diverse. Morphology and quantity of skin lesions depends on interactions between host immunity and fungus virulence. Diagnosis can be a challenge considering that this fungus has low virulence and some individuals have immunity to microorganism, which results in well-marked granulomas without visible microorganisms. We report herein a clinical presentation of sarcoid-like PCM, initially diagnosed as tuberculoid leprosy. This rare type of PCM is often mistaken for other types of chronic granulomatous diseases. Diagnosis was confirmed after 4 years when a special stain analysis helped in the identification of the specific etiologic agent.

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