Lungs Auscultatory findings are minimal in comparison with the radiologic abnormalities. Mucosal lesions Lesions are infiltrated, ulcerated, and commonly involve the mouth, lips, gingiva, tongue, and palate. Less commonly, these lesions can involve the nose, larynx, and pharynx. Ulcerated lesions are mulberrylike, and cicatricial scarring accompanies healing. 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.