CXR shows focal or diffuse infiltrates, bilateral nodules, cavities, or pleural effusions. Papanicolaou stain is very sensitive in detecting blastomycosis. Treatment AMB or itraconazole. Ketoconazole not as effective. Paracoccidioides brasiliensis Paracoccidioidomycosis is the most prevalent systemic mycosis in Latin America, but few cases have been reported in HIV patients.
L seems to be the pathogenesis of paracoccidioidomycosis in most patients.
Prolonged fever, lymphadenopathy, cough, dyspnea, hepatosplenomegaly, and rash are common. CNS involvement and meningitis may also occur. Lifelong suppressive therapy is recommended.