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[Paracoccidioidomycosis of the external ear].
Ann Dermatol Venereol. 2014 Aug-Sep; 141(8-9):514-7.AD

Abstract

BACKGROUND

Paracoccidioidomycosis is a systemic fungal infection common in Latin America. Cutaneous involvement is frequent and usually affects multiple sites, being most frequently associated with lesions of the oropharyngeal mucosa. The cutaneous form on its own is rare.

PATIENTS AND METHODS

We report a case of paracoccidioidomycosis isolated from the ear of a 43-year-old immunocompetent man. The lesion consisted of a partially ulcerated plaque on the auricle of the left ear. Direct examination, histopathological examination and PCR revealed the presence in the skin lesion of yeasts identified as Paracoccidioides brasiliensis.

DISCUSSION

The sites of paracoccidioidomycosis on the ear can be confused with other tropical diseases frequently found in the Amazon region such as leishmaniasis, leprosy and lobomycosis. The absence of any other cutaneous sites in this case raised the question of whether the lesion was of primary or secondary origin.

Authors+Show Affiliations

Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane.Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.Service d'anatomo-pathologie, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane; CIC-EC Antilles-Guyane, CIE 802 Inserm, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane.Service de parasitologie-mycologie, université des Antilles et de la Guyane, centre hospitalier de Cayenne, BP 6006, Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane.Service de dermatologie, centre hospitalier de Cayenne, BP 6006, 97300 Cayenne, Guyane; EA 3593-EPaT, université des Antilles et de la Guyane, BP 6006, Cayenne, Guyane. Electronic address: couppie.pierre@voila.fr.

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

25209814

Citation

Sambourg, E, et al. "[Paracoccidioidomycosis of the External Ear]." Annales De Dermatologie Et De Venereologie, vol. 141, no. 8-9, 2014, pp. 514-7.
Sambourg E, Demar M, Simon S, et al. [Paracoccidioidomycosis of the external ear]. Ann Dermatol Venereol. 2014;141(8-9):514-7.
Sambourg, E., Demar, M., Simon, S., Blanchet, D., Dufour, J., Sainte-Marie, D., Fior, A., Carme, B., Aznar, C., & Couppié, P. (2014). [Paracoccidioidomycosis of the external ear]. Annales De Dermatologie Et De Venereologie, 141(8-9), 514-7. https://doi.org/10.1016/j.annder.2014.04.121
Sambourg E, et al. [Paracoccidioidomycosis of the External Ear]. Ann Dermatol Venereol. 2014 Aug-Sep;141(8-9):514-7. PubMed PMID: 25209814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Paracoccidioidomycosis of the external ear]. AU - Sambourg,E, AU - Demar,M, AU - Simon,S, AU - Blanchet,D, AU - Dufour,J, AU - Sainte-Marie,D, AU - Fior,A, AU - Carme,B, AU - Aznar,C, AU - Couppié,P, Y1 - 2014/06/03/ PY - 2013/06/05/received PY - 2014/03/05/revised PY - 2014/04/02/accepted PY - 2014/9/12/entrez PY - 2014/9/12/pubmed PY - 2015/5/27/medline KW - French Guiana KW - Guyane française KW - Maladie tropicale KW - Mycose systémique KW - Paracoccidioides brasiliensis KW - Paracoccidioidomycosis KW - Paracoccidioïdomycose KW - Systemic mycosis KW - Tropical disease SP - 514 EP - 7 JF - Annales de dermatologie et de venereologie JO - Ann Dermatol Venereol VL - 141 IS - 8-9 N2 - BACKGROUND: Paracoccidioidomycosis is a systemic fungal infection common in Latin America. Cutaneous involvement is frequent and usually affects multiple sites, being most frequently associated with lesions of the oropharyngeal mucosa. The cutaneous form on its own is rare. PATIENTS AND METHODS: We report a case of paracoccidioidomycosis isolated from the ear of a 43-year-old immunocompetent man. The lesion consisted of a partially ulcerated plaque on the auricle of the left ear. Direct examination, histopathological examination and PCR revealed the presence in the skin lesion of yeasts identified as Paracoccidioides brasiliensis. DISCUSSION: The sites of paracoccidioidomycosis on the ear can be confused with other tropical diseases frequently found in the Amazon region such as leishmaniasis, leprosy and lobomycosis. The absence of any other cutaneous sites in this case raised the question of whether the lesion was of primary or secondary origin. SN - 0151-9638 UR - https://www.unboundmedicine.com/medline/citation/25209814/[Paracoccidioidomycosis_of_the_external_ear]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0151-9638(14)00276-2 DB - PRIME DP - Unbound Medicine ER -