Case 173. Paracoccidioidomycosis (32 y-o F)

       
 
Biopsy from an ulcerative facial skin of a Brasilian Nisei
 
       

 

  Paracoccidioides brasiliensis showing a double-coutour appearance is morphologically resembles Blastomyces dermatitidis. Careful observation discloses a multiple budding form, characteristic of P. brasiliensis (HE, high power).