<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932024000100056</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2024.e11142408</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Paracoccidioidomicosis en paciente con secuelas de leishmaniasis en mucosas]]></article-title>
<article-title xml:lang="en"><![CDATA[Paracoccidioidomycosis in a patient with sequelae of leishmaniasis in mucous membranes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez Franco]]></surname>
<given-names><![CDATA[Elvis Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Báez]]></surname>
<given-names><![CDATA[Clara Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldama Caballero]]></surname>
<given-names><![CDATA[Arnaldo Benjamín Feliciano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Penayo Aguilera]]></surname>
<given-names><![CDATA[Teresita De Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya Bueno]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira Brunelli]]></surname>
<given-names><![CDATA[José Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá Departamento de Medicina Interna Servicio de Dermatología]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional de Itauguá Servicio de anatomía patológica ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro de Especialidades Dermatológicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>56</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932024000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932024000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932024000100056&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La paracoccidioidomicosis es una micosis profunda producida por el hongo Paracoccidioides. Es endémica en zonas tropicales y subtropicales de Latinoamérica. Se observa en trabajadores rurales y predomina en pacientes del sexo masculino. El diagnóstico se realiza mediante estudios histopatológicos y microbiológicos. El tratamiento de elección es el itraconazol, pero en casos seleccionados se usa anfotericina B. Se presenta el caso de un varón de 58 años, que acude por lesiones de 2 meses de evolución en mucosa del ala nasal derecha que inicia con ulceración, secreción seropurulenta y dolor, y otra lesión en paladar duro que comienza como una ulceración y posterior fistulización hacia fosas nasales. Posee antecedente de leishmaniasis mucosa con secuelas estructurales nasales hace 20 años, por lo que la sospecha inicial fue una recidiva de leishmaniasis. Sin embargo, esta infección fue descartada con los estudios dirigidos y, en cambio, se hizo diagnóstico de paracoccidioidomicosis. Se inició tratamiento con itraconazol, con buena respuesta en su control al tercer mes del tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Paracoccidioidomycosis is a deep mycosis caused by the fungus Paracoccidioides. It is endemic in tropical and subtropical areas of Latin America. It is observed in rural workers and predominates in male patients. Diagnosis is made through histopathological and microbiological studies. The treatment of choice is itraconazole, but in selected cases, amphotericin B is used. The case of a 58-year-old man is presented, who presents with lesions of 2 months of evolution in the mucosa of the right nasal ala that begins with ulceration, seropurulent discharge and pain, and another lesion on the hard palate that starts as an ulceration and subsequent fistulization, towards nasal passages. He has a history of mucosal leishmaniasis with nasal structural sequelae 20 years ago, so the initial suspicion was a recurrence of leishmaniasis. However, this infection was ruled out with directed studies and, instead, a diagnosis of paracoccidioidomycosis was made. Treatment with itraconazole was started, with a good response in the control after the third month of treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[paracoccidioidomicosis]]></kwd>
<kwd lng="es"><![CDATA[leishmaniasis]]></kwd>
<kwd lng="es"><![CDATA[itraconazol.]]></kwd>
<kwd lng="en"><![CDATA[paracoccidioidomycosis]]></kwd>
<kwd lng="en"><![CDATA[leishmaniasis]]></kwd>
<kwd lng="en"><![CDATA[itraconazole.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shikanai-Yasuda]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Colombo]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Queiroz-Telles]]></surname>
<given-names><![CDATA[F de]]></given-names>
</name>
<name>
<surname><![CDATA[Kono]]></surname>
<given-names><![CDATA[ASG]]></given-names>
</name>
<name>
<surname><![CDATA[Paniago]]></surname>
<given-names><![CDATA[AMM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brazilian guidelines for the clinical management of paracoccidioidomycosis]]></article-title>
<source><![CDATA[Rev Soc Bras Med Trop]]></source>
<year>2017</year>
<volume>50</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>715-40</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aldama]]></surname>
<given-names><![CDATA[OM]]></given-names>
</name>
<name>
<surname><![CDATA[Aldama]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rivelli]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarenga]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracoccidioidomicosis: localización podal única manifestación mucocutánea]]></article-title>
<source><![CDATA[Dermatol. cosmet. méd]]></source>
<year>2017</year>
<volume>15</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>246-51</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[NB]]></given-names>
</name>
<name>
<surname><![CDATA[Toranzo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Canteros]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico micológico de paracoccidioidomicosis en un hospital de área no endémica]]></article-title>
<source><![CDATA[Biomédica]]></source>
<year>2023</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>132-43</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dawaher]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Colella]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Roselló]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Olaizola]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracoccidioidomicosis: clínica, epidemiología y tratamiento]]></article-title>
<source><![CDATA[Kasmera]]></source>
<year>2012</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>161-71</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracoccidioidomicosis detectados en el período 2004-2013 en el Laboratorio Central de Salud Pública de Asunción - Paraguay]]></article-title>
<source><![CDATA[Rev. Nac. (Itauguá)]]></source>
<year>2016</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>62-71</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tudanca]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Sierra]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cornet]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Paravano]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coinfeccio&#769;n leishmaniasis y paracoccidioidomicosis]]></article-title>
<collab>Sociedad Argentina de Infectología (SADI)</collab>
<source><![CDATA[XVII Congreso SADI]]></source>
<year>2017</year>
<page-range>PE281</page-range><publisher-loc><![CDATA[Mar del Plata, Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[La Sociedad]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández Quiroga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Candiz]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Mazzaroni]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Olivares]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Maronna]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paracoccidioidomicosis asociada a leishmaniasis]]></article-title>
<source><![CDATA[Dermatol Argent]]></source>
<year>2019</year>
<volume>25</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>125-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
