Abstract
Objective: To describe a case of paracoccidioidomycosis in a previously healthy patient, as it is a pathology that is still underreported. Case details: Young male patient started with skin lesions and generalized lymph node enlargement in addition to daily fever and weight loss for two weeks. Physical examination revealed hepatosplenomegaly in addition to skin lesions and enlarged lymph nodes. Treatment for PBmicose started and patient went into remission of the lesions being discharged for outpatient follow-up. Final considerations: PBmicose is a deep mycosis of great epidemiological importance even today. However, as it is not mandatory, it is still underdiagnosed. It is a pathology that should always be remembered in cases of generalized lymph node enlargement and hepatosplenomegaly. Its diagnosis involves clinical, laboratory and biopsy factors. Its treatment involves drugs of broad access such as sulfamethoxazole + trimethoprim and can be performed in an outpatient setting.