Paracoccidioidoma medular

the case is reported of a 51-year-old patient with a three-month history of paraparesia that had rendered him unable to walk over a period of 45 days. the patient underwent surgical excision of 2 granulomas that had been shown by an mri scan. histopathological study with silver methenamine showed budding blastoconidia, typical of paraccoccidioides brasiliensis infection (acta med colomb 2010; 35: 183-184).