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Paracoccidioidomycosis: an uncommon clinical presentation
Bruno Augusto Alvares1, Cláudia Alves Lapa Gracia2, Mariangela Esther Alencar Marques1
1Department of Dermatology and Radiotherapy, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brazil.
Anais Brasileiros De Dermatologia
|September 11, 2020
Summary
Paracoccidioidomycosis, a fungal infection, typically affects rural males. This case highlights an atypical presentation in an elderly urban female, successfully treated with itraconazole.
Area of Science:
- Medical Mycology
- Infectious Diseases
Background:
- Paracoccidioidomycosis (PMSC) is a systemic fungal infection endemic to Latin America.
- It predominantly affects adult males with occupational or environmental exposure to rural areas.
- The classic presentation involves oro-pulmonary lesions.
Observation:
- A 76-year-old female patient with no history of rural exposure presented with an atypical clinical-dermatological manifestation of PMSC.
- Diagnosis was confirmed via histopathological examination.
Findings:
- The patient exhibited an unusual clinical presentation of paracoccidioidomycosis.
- Histopathology was crucial for accurate diagnosis.
Implications:
- This case expands the known clinical spectrum of paracoccidioidomycosis.
- It underscores the importance of considering atypical presentations in diverse patient demographics.
- Successful treatment with itraconazole demonstrates its efficacy in managing this rare presentation.
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