Pulmonary paracoccidioidomycosis: A case report with high-resolution computed tomography findings [Paracoccidioidomicose pulmonar: Relato de caso clínico com aspetos em tomografia computorizada de alta resolução]

Paracoccidioidomycosis is a systemic mycosis which is endemic in rural areas of latin america,an important european source of immigrants and a growing european touristic destination as well,with most cases occurring in brazil,argentina,venezuela and colombia. the authors report a case of a 43 year old man who previously worked in venezuela and is living in portugal for 8 years,presenting with a single cutaneous lesion. despite the absence of valuable respiratory complaints,severe lung damage was found with high-resolution computed tomography (hrct). biopsy of the cutaneous lesion and mycologic sputum examination were performed revealing paracoccidioides brasiliensis infection. © 2011 sociedade portuguesa de pneumologia.