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Case Report • Rev. Soc. Bras. Med. Trop. 50 (02) • Mar-Apr 2017 • https://doi.org/10.1590/0037-8682-0246-2016   copy

Paracoccidioidomycosis with sarcoid-like lesions:a diagnostic challenge

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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.

Keywords:
Diagnostic erros; Leprosy; Paracoccidioidomycosis

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