Chronic multifocal paracoccidioidomycosis with perioral and laryngeal involvement in an immunocompetent patient: case report
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Abstract
Introduction: Paracoccidioidomycosis is a mycosis endemic in tropical areas of South America and Central America. 50% of patients have mucous membrane involvement and the laryngeal mucosa is affected in 22-43% of cases. Case report: We present an illustrative case of a patient with Paracoccidioidomycosis with involvement of the oral and laryngeal mucosa with a clinical course suggestive of disseminated tuberculosis. Discussion: Mucosal involvement occurs in half of the patients with Paracoccidioidomycosis, while laryngeal involvement occurs in 22- 43% of patients. In most cases, laryngeal lesions are observed as granulomatous masses with a hemorrhagic surface and are associated with dysphonia, making them difficult to differentiate from laryngeal tuberculosis. Conclusion: Laryngeal involvement in patients with Paracoccidioidomycosis is frequent and has a clinical course similar to that of tuberculosis, implying a diagnostic challenge.
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ISSN: 0120-8411
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