摘要
primary infection with paracoccidioides brasiliensis has rarely been observed. a 28-year-old male patient presented with a three-month history of fever, respiratory symptoms and malaise. chest x-rays revealed bilateral apical infiltrates, right pleuritis and hilar lymphadenomegaly. the patient presented with leukocytosis, severe eosinophilia and increasing titers of anti-p. brasiliensis antibodies in serum. to our knowledge, this is the first report of the primary pulmonary lymph node complex of paracoccidioidomycosis accompanied by hypereosinophilia and affecting a previously healthy adult.