Paracoccidioidomycosis with sarcoid-like lesions:a diagnostic challenge

AUTOR(ES)

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

FONTE

Rev. Soc. Bras. Med. Trop.

DATA DE PUBLICAÇÃO

2017-03

RESUMO

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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