Paracoccidioidomycosis (PCM) is a type of mycosis most often found in the lung. The authors present a case of pulmonary PCM. Case Presentation: A-72-year-old man had a four-year history of dyspnea, dry cough, and weakness and a recent weight loss of more than 10 kg. First, he was treated with glucocorticoid, but he did not continue this treatment. Core needle biopsy was done. Pathology reported paracoccidioidomycosis. The patient was treated with itraconazole. Conclusions: PCM has not been reported in Iran until now, but it should be considered as a differential diagnosis when risk factors or symptoms of PCM are detected.
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