<italic>Paracoccidioides brasiliensis</italic> is found only in Latin America. It is endemic in Mexico, Central America, and South America. Most cases (80%) have been reported from Brazil, followed by Venezuela, Colombia, Ecuador, and Argentina. Most cases occur in tropical and subtropical forests, where temperatures are mild and humidity is high throughout the year. Infection can be asymptomatic or can cause mucosal lesions involving the mouth, lips, tongue or nose. It can also cause lymphadenopathy, dyspnea, cough, and skin lesions. Diagnosis and treatment are also reviewed.