title: [Paracoccidioidomycosis of the external ear].
abstract: BACKGROUND
  Paracoccidioidomycosis is a systemic fungal infection common in Latin America. Cutaneous involvement is frequent and usually affects multiple sites, being most frequently associated with lesions of the oropharyngeal mucosa. The cutaneous form on its own is rare.
  
  
  METHODS
  We report a case of paracoccidioidomycosis isolated from the ear of a 43-year-old immunocompetent man. The lesion consisted of a partially ulcerated plaque on the auricle of the left ear. Direct examination, histopathological examination and PCR revealed the presence in the skin lesion of yeasts identified as Paracoccidioides brasiliensis.
  
  
  CONCLUSIONS
  The sites of paracoccidioidomycosis on the ear can be confused with other tropical diseases frequently found in the Amazon region such as leishmaniasis, leprosy and lobomycosis. The absence of any other cutaneous sites in this case raised the question of whether the lesion was of primary or secondary origin.
authors.affiliation: Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane.
authors.forename: E
authors.initials: E
authors.lastname: Sambourg
authors.affiliation: Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.
authors.forename: M
authors.initials: M
authors.lastname: Demar
authors.affiliation: Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.
authors.forename: S
authors.initials: S
authors.lastname: Simon
authors.affiliation: Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.
authors.forename: D
authors.initials: D
authors.lastname: Blanchet
authors.affiliation: Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.
authors.forename: J
authors.initials: J
authors.lastname: Dufour
authors.affiliation: Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.
authors.forename: D
authors.initials: D
authors.lastname: Sainte-Marie
authors.affiliation: Service d'anatomo-pathologie, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.
authors.forename: A
authors.initials: A
authors.lastname: Fior
authors.affiliation: Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane; CIC-EC Antilles-Guyane, CIE 802 Inserm, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.
authors.forename: B
authors.initials: B
authors.lastname: Carme
authors.affiliation: Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.
authors.forename: C
authors.initials: C
authors.lastname: Aznar
authors.affiliation: Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane. Electronic address: couppie.pierre@voila.fr.
authors.forename: P
authors.initials: P
authors.lastname: Couppié
mesh_terms: D000328:Adult; D004427:Ear Diseases / Q000175:diagnosis / Q000382:microbiology*; D004431:Ear, External; D006801:Humans; D008297:Male; D010229:Paracoccidioidomycosis / Q000175:diagnosis
keywords: French Guiana; Guyane française; Maladie tropicale; Mycose systémique; Paracoccidioides brasiliensis; Paracoccidioidomycosis; Paracoccidioïdomycose; Systemic mycosis; Tropical disease