Paracoccidioidomycosis with sarcoid-like lesions: a diagnostic challenge

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Milanez Morgado de Abreu, Marilda Aparecida
Lastoria, Joel Carlos [UNESP]
Arruda Mattos, Antonio Luiz de
Avelar Alchorne, Mauricio Mota de
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Soc Brasileira Medicina Tropical
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.
Diagnostic errors, Leprosy, Paracoccidioidomycosis
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Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 2, p. 273-276, 2017.