title: Report of an imported cutaneous disseminated case of paracoccidioidomycosis.
abstract: Paracoccidioidomycosis is a chronic progressive infection. It affects mainly the elderly and it is geographically limited to certain areas of Latin America. In Europe it is considered a rare imported infection. Here we report a case of paracoccidioidomycosis that occurred in a 27-year-old Ecuadorian patient living in Spain initially misdiagnosed as blastomycosis. The typical multi-budding yeast cells of Paracoccidioides brasiliensis were observed in Grocott stained samples. This case should alert Spanish mycologists, clinicians and pathologists about the possibility of patients who have travelled or lived outside Spain may suffer paracoccidioidomycosis or other imported mycoses.
authors.affiliation: Sección de Patología Infecciosa, Servicio de Patología, Hospital Universitario Juan XXIII, Universitat Rovira i Virgili, Dr Mallafré Guasch 4, Tarragona, Spain. emilio.mayayo@urv.cat
authors.forename: Emilio
authors.initials: E
authors.lastname: Mayayo
authors.forename: Virginia
authors.initials: V
authors.lastname: López-Aracil
authors.forename: Belkys
authors.initials: B
authors.lastname: Fernández-Torres
authors.forename: Rosa
authors.initials: R
authors.lastname: Mayayo
authors.forename: Mercedes
authors.initials: M
authors.lastname: Domínguez
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001759:Blastomycosis / Q000175:diagnosis; D056486:Chemical and Drug Induced Liver Injury / Q000175:diagnosis; D002764:Cholecystitis / Q000150:complications / Q000175:diagnosis; D003881:Dermatomycoses / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D025141:Drug Resistance, Fungal; D004484:Ecuador / Q000208:ethnology; D004641:Emigration and Immigration; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D041781:Jaundice, Obstructive / Q000209:etiology; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D010228:Paracoccidioides / Q000302:isolation & purification; D010229:Paracoccidioidomycosis / Q000175:diagnosis*; D013030:Spain
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D007654:Ketoconazole