Case 173. Paracoccidioidomycosis (32 y-o F)

　 　 　 　
　
Biopsy from an ulcerative facial skin of a Brasilian Nisei
 　
　 　 　 　

　

 　 Grocott's silver clearly shows the multiple budding yeast, accompanying "ship's steering wheel appearance". Paracoccidioidomycosis is endemic in the south American continent.