case_images: PMC3152968_01
case_images: Clinical picture with arrows showing (a) chronic foot ulcer, (b) clear palate ulcer, and (c) mouth ulcer.
case_images: CRIM2011-960638.001.jpg
case_images: PMC3152968_01_CRIM2011-960638.001.jpg
case_images: fig1
case_images: Physical examination revealed a wasted patient with pale skin and upper palate, nose, mouth, and right foot ulcers (Figure 1).
case_images: Colonoscopy showing (a) Intense inflammatory stenotic ulcer and (b) giant exudative colonic ulcer.
case_images: CRIM2011-960638.002.jpg
case_images: PMC3152968_01_CRIM2011-960638.002.jpg
case_images: fig2
case_images: Colonoscopy revealed multiple deep and large patchy exudative ulcers from rectum to cecum alternating with areas of normal mucosa (Figure 2).
case_images: 100x. Direct microscopic examination with typical double-wall Paracoccidioides brasiliensis.
case_images: CRIM2011-960638.003.jpg
case_images: PMC3152968_01_CRIM2011-960638.003.jpg
case_images: fig3
case_images: Direct microscopic examination revealed several double wall fungi with multiple gemmulation compatible with paracoccidioidomycosis (Figure 3). 
case_images: H&E 80x. Arrows showing intra- and extracellular small yeast of  Histoplasma capsulatum.
case_images: CRIM2011-960638.004.jpg
case_images: PMC3152968_01_CRIM2011-960638.004.jpg
case_images: fig4
case_images: Histopathology demonstrated acute infectious colitis with multiple granulomas rich in epithelioid cells and oval budding yeast cells consistent with Histoplasma capsulatum (Figure 4).
case_images: H&E 80x. Arrows showing intracellular Paracoccidioides brasiliensis.
case_images: CRIM2011-960638.005.jpg
case_images: PMC3152968_01_CRIM2011-960638.005.jpg
case_images: fig5
case_images: Paracoccidioides was found at a different site (Figure 5). Palate, nose, foot ulcer, sputum, and urine samples were positive for Paracoccidioides.