title: Primary cutaneous histoplasmosis developed in the penis of an immunocompetent patient.
abstract: A 70-year-old male presenting a 3-month history of genital painless erythematous nodules in the balanopreputial sulcus was referred to our service. Histopathological exam presented a chronic dermatitis with epithelioid granulomas and Grocott staining revealed numerous fungal structures with a suggestive morphology of Histoplasma sp. Cultures evidenced Histoplasma capsulatum var. capsulatum. Treatment with oral itraconazole led to complete remission of lesions.
authors.affiliation: São Paulo, São Paulo, SP, Brazil.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Paixão
authors.affiliation: Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Hélio Amante
authors.initials: HA
authors.lastname: Miot
authors.affiliation: Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: João
authors.initials: J
authors.lastname: Avancini
authors.affiliation: Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Walter
authors.initials: W
authors.lastname: Belda Júnior
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy; D003881:Dermatomycoses / Q000188:drug therapy / Q000276:immunology / Q000473:pathology*; D006658:Histoplasma; D006660:Histoplasmosis / Q000188:drug therapy / Q000276:immunology / Q000473:pathology*; D006801:Humans; D007121:Immunocompetence / Q000276:immunology; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D010409:Penile Diseases / Q000188:drug therapy / Q000276:immunology / Q000473:pathology*; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole
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