Enlarged, painful cervical and axillary lymph nodes in chronic paracoccidioidomycosis.

BACKGROUND: Paracoccidioidomycosis is an important medical and social problem mainly in rural areas of Brazil, because of the high incidence of the diseases, its long clinical evolution, frequent recurrences and sequels leading to anatomical and functional incapacities. MAIN OBSERVATION: We present a 73-year-old patient with paracoccidioidomycosis showing significant lymph node manifestations, which are only common in children and teenagers. CONCLUSIONS: Paracoccidioidomycosis may have a long incubation period, and it can be diagnosed outside of the endemic regions, where it was acquired. Thus, all dermatologists should maintain a high index of suspicion, especially in unusual cases of extensive lymph node enlargement in the elderly patients.

Disseminated fusariosis in a bone marrow transplant patient.

The authors present a case report involving an immunocompromised patient with fusariosis, an often fatal fungal infection in this group of patients. This mycosis needs to be recognized and treated in the initial phases, although this does not guarantee improvement.