Anatomopathological examination of skin fragments from patients diagnosed at INI-Fiocruz between 2010 and 2019: (A) HE ×100, diffuse granulomatous dermatitis with giant cells, some large round and refractile fungal cells, and infiltration of follicular epithelium by neutrophils; (B) HE ×400, diffuse suppurative granulomatous dermatitis with giant cells, plasma cells, and eosinophils, and some large and small, round, and refractile fungal cells; (C) Grocott ×400, fungal forms with budding in a “steering wheel” pattern.; and (D) Grocott ×1000 (immersion), fungal form with budding in a “steering wheel” pattern.