Human Lobomycosis Caused by Paracoccidioides (Lacazia) loboi, Panama, 2022
Jose A. Suárez, Betty Cerrud, Monica Pachar, Luz H. Patiño, Jason Reidy, Amina Chace, Roderick Chen-Camaño, Diógenes Alvarado-Barría, Mohammad Z. Nakadar, Juan D. Ramirez, and Alberto Paniz-Mondolfi
Author affiliations: Universidad Internacional Sek Quito, Quito, Ecuador (J.A. Suárez); Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama (B. Cerrud, R. Chen-Camaño); Hospital Santo Tomas, Panama City (M. Pachar); Panama College of Environmental Engineer, Panama City (D. Alvarado-Barría); Icahn School of Medicine at Mount Sinai, New York, New York, USA (J. Reidy, A. Chace, L. H Patiño, M.Z. Nakadar, J.D. Ramirez, A. Paniz-Mondolfi)
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Figure 1
Figure 1. Lesions from an 87-year-old woman from Capira in western Panama, determined to be lobomycosis caused by infection with the fungus Paracoccidioides (Lacazia) loboi. A, B) Multiple keloid-like nodules on the left leg extending through the mid-distal third of the posterior aspect of the left thigh of the patient who had lobomycosis. Shown are the classic confluent arrangement and hyperpigmented aspect of lesions. C) Tissue stain showing classic oval-to-round-shaped cells with connecting tubular projections arranging in a string-of-pearls pattern, both in pairs and individually. Gömöri methenamine silver stain; original magnification ×100.
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