title: [Chronical and multifocal paracoccidioidomycosis having the lid involvement as the first sign: case report].
abstract: Ocular involvement of paracoccidioidomycosis is rare and when it occurs it is usually secondary to hematogenic dissemination. A case of multifocal paracoccidioidomycosis in a 73 year-old male after history of blunt trauma in the right eye with a stick of wood that presented as the first clinical sign a lid-conjunctival lesion is described. The possible primary ocular infection spreading by contiguity is argued and the disease manifestation in an advanced age is highlighted.
authors.affiliation: Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil. tiago.nelson@hotmail.com
authors.forename: Tiago Nelson de Oliveira
authors.initials: TN
authors.lastname: Rassi
authors.forename: Rafael Ricardo Barcelos
authors.initials: RR
authors.lastname: Passos
authors.forename: Karina Mitiko
authors.initials: KM
authors.lastname: Kumagai
authors.forename: João Edward
authors.initials: JE
authors.lastname: Soranz Filho
authors.forename: João Alberto Holanda de
authors.initials: JA
authors.lastname: Freitas
mesh_terms: D000368:Aged; D001762:Blepharitis / Q000150:complications* / Q000382:microbiology; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D010229:Paracoccidioidomycosis / Q000382:microbiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*