Paracoccidioidomycosis: an Australian case

A 33-year-old HIV negative Brazilian engineer who had been living in Australia for three years presented to his dentist with an eight week history of a progressively enlarging maxillary gingival ulcer, suspicious malignancy. Biopsy the lesion showed pseudoepitheliomatous hyperplasia round structures present periodic acid-schiff and grocott stains suggestive fungal organism. second biopsy revealed organisms pathognomonic appearance on microscopy. The organism grew Brain Heart Infusion agar Sabouraud at 30 35 degrees celsius. An identification Paracoccidioides brasiliensis was made. To our knowledge, we first Australian case P. infection, highly pathogenic dimorphic fungus, order highlight some key diagnostic features this unusual infection.