Begin  The Authors
 Introduction

Tropical Diseases:

I Leishmaniasis
II Paracoccidioidomycosis
III Blastomycocis
IV Chromoblastomycosis
V Lepra
VI Sporotrichosis
VII Histoplasmosis
VIII Rhinosporidiosis
IX Mycetomas
X Rhinoscleroma
XI Chagasdisease
XII Actinomycosis
XIII Mucormycosis
XIV Amoebiasis
XV Protothecosis
XVI Lobomycosis
XVII Phaeohyphomycosis
XVIII Pruritus actinicus
XIX Bite of snake
XX Coccidioidomycosis

 List of cases

 References
 Contact

II. Paracoccidioidomycosis

Case 17: Paracoccidioidomycosis / Malignant lymphoma

Previus Case 16

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Next Case 18

Paracoccidioidomycosis

Malignant lymphoma

Click here to see the picture 17-A1
Fig.17-A1
Paracoccidioidomycosis

A 60-year old man from the Venezuelan Andes presents in his left cervical region two tumors situated one on top of the other. Furthermore, another tumor was found on the inside of the right upperarm. Clinically was suspected a lymphoma, tuberculosis or a carcinoma with metastasis.

Click here to see the picture 17-B1
Fig.17-B1
Malignant lymphoma

A 9-year old boy from Barinas / Venezuela shows two skin nodules localized in his left cervical region with an intact surface and a firm consistency. The boy, otherwise is healthy and strong.

Click here to see the picture 17-A2
Fig.17-A2
Paracoccidioidomycosis

Histologically the tumor of the right upperarm showed a non-specific granulation tissue with giant cells and relatively large yeast-like cells. This "mixed tissue reaction", as we call it, is typical in many fungus infections. HE stains; lower magnification.

Click here to see the picture 17-B2
Fig.17-B2
Malignant lymphoma

The histological examination of a removed skin nodule reveals the complete destruction of the lymphatic parenchyma and substitution by a tumor tissue rich in histiocytic cells with signs of malignity. This lesion is called by other authors reticulosarcoma. PAS stain. Magnification 400 X.

Click here to see the picture 17-A3
Fig.17-A3
Paracoccidioidomycosis

The Grocott stain shows the multiple budding of the yeast cells of Paracoccidioides brasiliensis. This so called "steering wheel" form of fungal cells in tissues occurs very exceptionally in other mycoses and allows diagnosis of this fungal infection. Magnification 1000 X.


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Facultad de Medicina
Universidad de Los Andes
Merida - Venezuela