“…P. brasiliensis induces an inflammatory response that leads to the formation of granulomas containing a compact collection of cells of the mononuclear phagocytic system, which is the location of the primary lesion in PCM in order to contain and destroy the fungi and prevent its spread. Macrophages and CD4 + T lymphocytes assume central importance in the morphogenesis of the inflammatory process and the synergistic action of these cells is important in the formation and modulation of the granulomas (Ruas et al, 2009;Sadahiro, Diogo, Oshiro, & Shikanai-Yasuda, 2007;Arruda et al, 2002;Romano, Mendes-Giannini, Duarte, & Benard, 2002;Fortes, Kurokawa, Marques, Miot, & Marques, 2011). The CD8 lymphocytes may play an important role in the pathogenesis of pulmonary PCM, because these cells were found in patients with PCM along with pro-inflammatory cytokines produced by alveolar macrophages and specific P. brasiliensis antibodies (Chiarella et al, 2007;Fornazim et al, 2003).…”