Paracoccidioidomycosis 40 years after renal transplantation: a case-report

Paracoccidioidomycosis is a systemic mycotic disease caused by termic-dimorphic fungi from the Paracoccidioides sp complex, which are endemic in Brazil and over 90% of cases are presented in the chronic form. It is a rare and severe infection in patients that underwent organ transplantation, according to few reported cases in literature. Our aim is to report a rare occurence of paracoccidioidomycosis in a renal transplant recipient, diagnosed over 40 years after the procedure and to draw attention to the importance of considering the diagnosis in immunosuppressed patients from endemic areas.