A 52-year-old construction worker from Brazil with no immunosuppression presents with progressive nodules on the lips, gums, and tongue featuring central suppuration and satellite lesions. Vital signs: BP 128/82, HR 88, RR 16, Temp 37.2°C, SpO2 98%. Sputum culture demonstrates yeast with characteristic "pilot wheel" or "mariner's wheel" appearance. Chest radiograph shows no pulmonary infiltrates. He denies fever or weight loss. Which of the following is the most likely diagnosis?
- A)Blastomycosis
- B)Coccidioidomycosis
- C)Candidiasis
- D)ParacoccidioidomycosisGABARITO
- E)Histoplasmosis
Explicação
Paracoccidioides brasiliensis causes paracoccidioidomycosis (South American blastomycosis), endemic to South America. Presents with oropharyngeal ulcers and suppuration with progressive lung involvement. Characteristic finding is yeast with multiple buds arran... Ver explicação completa e trilha adaptativa →