II.
Paracoccidioidomycosis
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Case 14:
Paracoccidioidomycosis / Basalioma
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Paracoccidioidomycosis
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Basalioma
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 Fig.14-A1 Paracoccidioidomycosis
With higher magnification the extension of the ulceration is seen with thickening and scarring of the eyelid. Furthermore, a mild conjunctivitis is present.
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 Fig.14-B1 Basalioma
A 58-years old farmer from Barinas presents on his right lower eyelid a thickening and ulceration.
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 Fig.14-A2 Paracoccidioidomycosis
The x-rays of the thorax reveal opacities in the middle and lower fields of both lungs.
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 Fig.14-B2 Basalioma
Histologically a solid, partly adenoid basalioma is found.
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 Fig.14-A3 Paracoccidioidomycosis
In smears from the upper eyelid several inflammatory cells and one giant cell are observed with the higher magnification. In the giant cell some elements are seen which could be fungi. HE stain
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 Fig.14-A4 Paracoccidioidomycosis
In smears stained with the Grocott method the multiple budding of Paracoccidioides brasiliensis cells is clearly observed.
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