Volume 96, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Paracoccidioidomycosis is a systemic mycosis caused by . It occurs more frequently in its chronic form, which particularly affects male adults from rural areas. These patients present with pulmonary involvement and systemic symptoms. Skin and mucosal lesions are rather typical and might suggest the diagnosis. The involvement of the upper airway mucosa is common and the patients usually complain of dysphagia and dysphonia. Nonetheless, in endemic areas, physicians should maintain a high level of suspicion even when faced with some atypical symptoms. We present the case of an adult diagnosed with nasopharyngeal paracoccidioidomycosis after presenting with an unusual otolaryngologic syndrome including unilateral soft palate paralysis with velopharyngeal insufficiency and hearing loss secondary to middle ear effusion.


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  • Received : 30 Nov 2016
  • Accepted : 17 Jan 2017
  • Published online : 06 Mar 2017

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