“…PMC more commonly affects farm workers and/or people who live in rural areas, particularly males in the ratio of 15:1, smokers and/or chronic alcoholics, aged between 30 and 50 years 2,4,5 . This unequal distribution has been attributed to two main factors, namely: 1) the greater exposure of men to soil and 2) the role of estrogen, which inhibits the transformation of the mycelial form of the microorganisms to the yeast form, which is pathogenic 2,4 . These factors corroborate with the case reported here since the 50 years old patient was a smoker for over thirty years, alcoholic and worked in rural areas.…”