Paracoccidioidomycosis: an uncommon clinical presentation
Author(s) -
Bruno Augusto Alvares,
Cláudia Alves Lapa Gracia,
Mariângela Esther Alencar Marques,
Sílvio Alencar Marques
Publication year - 2020
Publication title -
anais brasileiros de dermatologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.461
H-Index - 44
eISSN - 1806-4841
pISSN - 0365-0596
DOI - 10.1016/j.abd.2020.06.001
Subject(s) - paracoccidioidomycosis , itraconazole , medicine , incidence (geometry) , presentation (obstetrics) , dermatology , lesion , physical examination , histopathological examination , mycosis , pathology , surgery , antifungal , physics , optics
Paracoccidoiomycosis is a systemic mycosis with a higher incidence in males with history of exposure to the rural environment; its classic clinical manifestation is an oro-pulmonary lesion. The authors report a case of a female, urban, 76-year-old patient with atypical clinical-dermatological presentation and diagnostic conclusion after histopathological examination. The clinical response was quick and complete after treatment with itraconazole 400mg/day in the first month, decreased to 200mg/day until the sixth month of treatment.
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