Paracoccidioidomycosis
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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
