Abstract
A man developed paracoccidioidomycosis with non-productive cough and changes on chest roentgenogram one year following agricultural work in Ecuador. Oropharyngeal and nasal lesions developed 2 years later. This chronic fungal infection is typically difficult to cure, and relapses are common. After treatment with 2·5 g of amphotericin B and a 3-year course of triple sulfa, our patient remained free of disease during 12 years of follow-up.