Abstract
A 47-year-old immunocompetent man presented with a 2-month history of ulcers on the face (Fig 1). He worked in a rural area in the state of Pará, northern Brazil, was a smoker, and had an alcohol use disorder. He had a 3-month history of weight loss, tetraparesis, reduced visual acuity, and vertical nystagmus. Magnetic resonance imaging showed multiple bilateral brain lesions with marginal contrast enhancement (Fig 2). Cerebrospinal fluid findings were nonspecific. Skin samples were collected for culture and histopathologic examination and stained with hematoxylin-eosin and Grocott methenamine silver (Fig 3).
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
