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South American blastomycosis: a treated case with control lung function studies.

A patient with far-advanced oral, lymph node and pulmonary infection with Paracoccidioides brasiliensis was treated with amphotericin B because of hypersensitivity to sulfonamides. Oral lesions dis- sappeared with minimal scarring. Initially spectacular radiographic infiltration improved markedly. Minimal physiologic abnormalities remained unchanged.With increasing population mobility, South American blastomycosis is likely to be found more often in non-endemic areas. Clinical features, fungal characteristics and therapy are discussed