title: Multifocal paracoccidioidomycosis: a diagnostic challenge due to late cutaneous manifestation.
abstract: Paracoccidioidomycosis is an endemic systemic mycosis in Brazil, frequent in the rural areas and often in adult men. It is reported the case of a farmer, who is an illicit drugs' user, with insidious manifestations affecting kidneys, lungs, lymphonodes, bones and lately, the skin, with a delay of more than one year in the diagnosis and effective therapy It is important to include paracoccidioidomycosis as differential diagnosis, even in the absence of cutaneous lesions, for early recognition and treatment, given the high mortality of this entity.
authors: Federal University of Amazonas, Manaus, AM, Brazil.
authors: Priscilla Maria Rodrigues
authors: PM
authors: Pereira
authors: Patrícia Bandeira de Melo
authors: PB
authors: Akel
authors: Livia Lima de
authors: LL
authors: Lima
authors: Eduardo Nobuo
authors: EN
authors: Kimura
authors: Alex Panizza
authors: AP
authors: Jalkh
mesh_terms: D000328:Adult; D001706:Biopsy; D006801:Humans; D008297:Male; D010229:Paracoccidioidomycosis / Q000188:drug therapy / Q000473:pathology*; D012867:Skin / Q000473:pathology*; D013997:Time Factors; D016896:Treatment Outcome