title: Cutaneous primary paracoccidioidomycosis.
abstract: Paracoccidioidomycosis is a common fungal infection in Latin America. Few cases have been described in non-endemic countries and their diagnosis without the correct suspicion, bearing in mind that the latency period might be up to 60 years, may not be easy. We report the case of a 59-year-old man who worked as a taxi driver for 25 years in Venezuela. Cutaneous paracoccidioidomycosis was diagnosed one year after he returned to Spain. No internal signs or symptoms of the disease were found and cell-mediated immunity showed no depression. Our case suggested us to consider direct cutaneous infection, although respiratory tract is believed to be the most frequent portal of entry for this infection.
authors.affiliation: Department of Dermatology, Hospital Universitario de Canarias, Universidad de La Laguna, Tenerife, Spain. mgarciab@ull.es
authors.forename: M
authors.initials: M
authors.lastname: García Bustínduy
authors.forename: F J
authors.initials: FJ
authors.lastname: Guimerá
authors.forename: P
authors.initials: P
authors.lastname: Arévalo
authors.forename: C
authors.initials: C
authors.lastname: Castro
authors.forename: M
authors.initials: M
authors.lastname: Sáez
authors.forename: S
authors.initials: S
authors.lastname: Dorta Alom
authors.forename: A
authors.initials: A
authors.lastname: Noda
authors.forename: L
authors.initials: L
authors.lastname: Diaz-Flores
authors.forename: R
authors.initials: R
authors.lastname: García Montelongo
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D010229:Paracoccidioidomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D012867:Skin / Q000473:pathology