A 28-year-old man from Brazil presents with oral lesions, difficulty swallowing, and lymphadenopathy. Examination shows painful nodules and ulcers on his lip. He works as a farmer with exposure to decaying vegetation. Biopsy shows fungal organisms with multiple buds on a single yeast cell. Which of the following is the most likely diagnosis?
- A)Candidiasis
- B)ParacoccidioidomycosisGABARITO
- C)Coccidioidomycosis
- D)Herpes simplex infection
- E)Blastomycosis
Explicação
Paracoccidioides brasiliensis is endemic to Central and South America. The characteristic finding is a yeast with multiple buds radiating from the cell (pilot-wheel appearance). It causes a primary pulmonary infection with lymphatic spread to oral mucosa, pres... Ver explicação completa e trilha adaptativa →