title: Primary complex of paracoccidioidomycosis and hypereosinophilia.
abstract: Primary infection with Paracoccidioides brasiliensis has rarely been observed. A 28-year-old male patient presented with a three-month history of fever, respiratory symptoms and malaise. Chest X-rays revealed bilateral apical infiltrates, right pleuritis and hilar lymphadenomegaly. The patient presented with leukocytosis, severe eosinophilia and increasing titers of anti-P. brasiliensis antibodies in serum. To our knowledge, this is the first report of the primary pulmonary lymph node complex of paracoccidioidomycosis accompanied by hypereosinophilia and affecting a previously healthy adult.
authors.affiliation: Department of Clinical Medicine, University of São Paulo at Ribeirão Preto School of Medicine, Ribeirão Preto, Brazil. rmartine@fmrp.usp.br
authors.forename: Roberto
authors.initials: R
authors.lastname: Martinez
authors.forename: Maria Janete
authors.initials: MJ
authors.lastname: Moya
mesh_terms: D000328:Adult; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000175:diagnosis*; D008172:Lung Diseases, Fungal / Q000175:diagnosis*; D008297:Male; D010228:Paracoccidioides / Q000276:immunology; D010229:Paracoccidioidomycosis / Q000175:diagnosis*