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、 2023年9月10日 (日) 15:44
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==Pathogen==
*''Paracoccidioides brasiliensis''
*''P. lutzii''
*dimorphic fungus
*incubation years even more decades
*natural habitat unknown
**almadillo known resorvoir
*petri dish culture shows very specific appearance
**culture takes long time more than 4 weeks
*pilot's wheel or steering wheel appearance under microscopy of yeast form because of spore budding
==Distribution==
*only in South America
**Brasil, Venezuela, Columbia
==Clinical features==
*pulmonary
*lymphadenitis
*may disseminate to skin and mucosa
==Diagnosis==
*pathology with pilot's wheel yeast
*serology
==Treatment==
*no spontaneous relief
*should absolutely be treated
*AMPH-B, azoles
*less mortal