Case report highlights diagnostic challenges of paracoccidioidomycosis in adolescent patients with lymphadenopathy, indicating the need for specific testing.
Key Points
Successful treatment was achieved after switching from antituberculosis to itraconazole in this case.
Diagnostic confusion with tuberculosis arose due to overlapping symptoms, emphasizing clinical vigilance.
Direct mycological examination identified characteristic yeasts, aiding in the rapid diagnosis of paracoccidioidomycosis.
This case underscores the importance of considering paracoccidioidomycosis in endemic regions when evaluating lymphadenopathy.