title: A 54-Year-Old Man With Lingual Granuloma and Multiple Pulmonary Excavated Nodules.
abstract: A 54-year-old French man was admitted for evaluation of a chronic nodular lesion of the tongue and mandibular lymphadenopathy. He reported active tobacco and cannabis smoking as well as excessive alcohol use. He also reported frequent use of cocaine for several months and a past addiction to IV heroin. He had traveled abroad as a journalist and lived for several months in Columbia and Venezuela 12 years ago. His medical history included chronic hepatitis C infection successfully treated with interferon and ribavirin 6 years ago and high BP.
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Dang
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France.
authors.forename: Noémie
authors.initials: N
authors.lastname: Chanson
authors.affiliation: Université Paris Descartes, Assistance Publique Hôpitaux de Paris, Département des Maladies Infectieuses et Tropicales, Hôpital Necker-Enfants malades, Paris, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Charlier
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Laboratoire de mycologie et de Parasitologie, Hôpital Bichat-Claude Bernard, Paris, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Bonnal
authors.affiliation: Institut Pasteur, Unité d'Histopathologie Humaine et Modèles Animaux, Paris, France.
authors.forename: Gregory
authors.initials: G
authors.lastname: Jouvion
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France.
authors.forename: Tiphaine
authors.initials: T
authors.lastname: Goulenok
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France; Unite INSERM U1149, Paris, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Papo
authors.affiliation: Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Département de Médecine Interne, Hôpital Bichat-Claude Bernard, Paris, France; Unite INSERM U1149, Paris, France. Electronic address: karim.sacre@aphp.fr.
authors.forename: Karim
authors.initials: K
authors.lastname: Sacre
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage; D001706:Biopsy / Q000379:methods; D003937:Diagnosis, Differential; D006099:Granuloma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage*; D000072281:Lymphadenopathy / Q000175:diagnosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D055613:Multiple Pulmonary Nodules / Q000175:diagnosis* / Q000209:etiology; D010228:Paracoccidioides / Q000302:isolation & purification; D010229:Paracoccidioidomycosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D014060:Tongue Diseases / Q000209:etiology / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole