Skin Lesions are warty, ulcerated, and crusted. Lesions infiltrate the subcutaneous tissues. Lymphadenopathy Lymphadenopathy presents as localized swelling in the cervical, axillary region. Mesenteric lymph node enlargement rarely can present as an abdominal mass. Draining fistulas may form.
Adrenal involvement can present with features of addisonian syndrome.
The organism has been isolated from the soil and armadillos in the coffee-growing lands. Cultures Attempt to obtain a culture because yeast isolation proves activity of the infectious process. Cultures usually are kept for 6 weeks. The test has a quantitative nature that allows evaluation of patient response to treatment but may cross react with H capsulatum antigens. In a patient with active disease, this study reveals patchy or confluent nodular infiltrates or condensed lesions, which frequently are bilateral and symmetric.