Differential diagnosis in tropical diseases with mu- cocutaneous involvement, Caaguazú, Paraguay

Abstract

Paracoccidioidomycosis (PMC) is a progressive systemic mycosis with a fatal outcome if not treated in time; It is the most prevalent in South America, it was first described in 1908 in São Paulo-Brazil by Adolfo Lutz. It is caused by a dimorphic fungus Paracoccidioides brasiliensis, its habitat in nature is not fully defined, in recent years the fungus was isolated from tatu viscera and the first canine case has been described, however interhuman transmission and Animals to man or vice versa is not reported. It is endemic in the humid tropical and subtropical areas of Latin America. In our environment, mucocutaneous and lymphatic involvement is usually the most prevalent. Tegumentary Leishmaniasis is a disease of tropical origin, epidemiologically in the department of Caaguazú cases are registered. This work is intended to demonstrate that from ulcerated lesions in a primary form, years later develops the mucocutaneous form if it has not been treated properly, as it has happened with a Repatriation patient who reported having developed an ulcer of approximately 8 months in being healed, on the right leg a few decades ago. Pseudomonas is a flagellated hemoparasite, which presents a primary skin lesion where, untreated, later years the mucocutaneous form can develop, generating mutilations at the level of the oral cavity and nasal septum caused by P. aeruginosa in a senile patient. ”