Chronic paracoccidioidmycosis in a woman with Crohn Disease
Tavares Dos Santos, H.; Augusto Benevenuto de Andrade, B.; Fernandes, D.; Caxias Travassos, D.; Bufalino, A.
Dermatology Online Journal 23(4)
2017
ISSN/ISBN: 1087-2108 PMID: 28541872 Document Number: 691587
We report a rare case of chronic paracoccidioidomycosis(PCM) in a woman with Crohn disease in the setting of treatment with azathioprine and mesalazine. Serum tests for antigens to Paracoccidioides brasiliensis, Histoplasma capsulatum, and Aspergillus fumigatus were negative. An incisional biopsy of an oral lesion with periodic acid-schiff and Grocott-methenamine silver stains revealed chronic granulomatous inflammation with multinucleated giant cells with Paracoccidioides brasiliensis within the cytoplasm, confirming the diagnosis of PCM.