Paracoccidioidomycosis with sarcoid-like lesions: a diagnostic challenge
Data
2017-03-01
Autores
Milanez Morgado de Abreu, Marilda Aparecida
Lastoria, Joel Carlos [UNESP]
Arruda Mattos, Antonio Luiz de
Avelar Alchorne, Mauricio Mota de
Título da Revista
ISSN da Revista
Título de Volume
Editor
Soc Brasileira Medicina Tropical
Resumo
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.
Descrição
Palavras-chave
Diagnostic errors, Leprosy, Paracoccidioidomycosis
Como citar
Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 2, p. 273-276, 2017.