{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T23:46:03Z","timestamp":1751586363149},"reference-count":15,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,5,3]]},"abstract":"<jats:p>Paracoccidioidomycosis is a systemic mycosis caused by <jats:italic>Paracoccidioides brasiliensis<\/jats:italic>. 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.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0937","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T17:07:24Z","timestamp":1488820044000},"page":"1136-1138","source":"Crossref","is-referenced-by-count":2,"title":["Unusual Otolaryngologic Manifestations of Paracoccidioidomycosis: A Case Report and Review of Literature"],"prefix":"10.4269","volume":"96","author":[{"given":"Lucas Resende","family":"Lucinda","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital de Cl\u00ednicas, Federal University of Paran\u00e1 (UFPR), Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Fernando","family":"Polanski","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hospital de Cl\u00ednicas, Federal University of Paran\u00e1 (UFPR), Curitiba, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Crit Rev Oral Biol Med","first-page":"268","article-title":"Paracoccidioidomycosis of the mouth: an emerging deep mycosis","volume":"14","author":"Almeida","year":"2013"},{"key":"ref2","series-title":"J Bras Pneumol","first-page":"1245","article-title":"Paracoccidioidomycosis","volume":"35","author":"Wanke","year":"2009"},{"key":"ref3","series-title":"An Bras Dermatol","first-page":"5","article-title":"Inqu\u00e9rito epidemiol\u00f3gico com a paracoccidioidina na regi\u00e3o de Sorocaba, Estado de S\u00e3o Paulo","volume":"61","author":"Bagatin","year":"1986"},{"key":"ref4","series-title":"Rev Inst Med Trop Sao Paulo","first-page":"87","article-title":"Epidemiologic aspects of 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Dermatol","first-page":"281","article-title":"Hard palate perforation: an unusual finding in paracoccidioidomycosis","volume":"40","author":"Castro","year":"2001"},{"key":"ref10","series-title":"Rev Inst Med Trop Sao Paulo","first-page":"407","article-title":"Clinical and endoscopic findings in the mucosae of the upper respiratory and digestive tracts in post-treatment follow up of paracoccidioidomycosis patients","volume":"37","author":"Do Valle","year":"1995"},{"key":"ref11","series-title":"Braz J Infect Dis","first-page":"126","article-title":"Central nervous system paracoccidioidomycosis: an overview","volume":"9","author":"De Almeida","year":"2005"},{"key":"ref12","series-title":"J Oral Pathol Med","first-page":"289","article-title":"Orofacial manifestations of the systemic mycosis","volume":"21","author":"Scully","year":"1992"},{"key":"ref13","series-title":"Am J Trop Med Hyg","first-page":"1","article-title":"Cutaneous disseminated paracoccidioidomycosis","volume":"86","author":"Ara\u00fajo","year":"2012"},{"key":"ref14","series-title":"Rev Inst Med Trop Sao Paulo","first-page":"277","article-title":"The sensitivity, specificity and efficiency values of some serological tests used in the diagnosis of paracoccidioidomycosis","volume":"33","author":"Del Negro","year":"1991"},{"key":"ref15","series-title":"Med Mycol","first-page":"373","article-title":"Interpretation and clinical correlation of serological tests in paracoccidioidomycosis","volume":"39","author":"Do Valle","year":"2001"}],"container-title":["The American Society of Tropical Medicine and 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