Single Oral Paracoccidioidomycosis Mimicking Other Lesions: Report of Eight Cases |
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Authors: | Rogério de Oliveira Gondak Fernanda Viviane Mariano Alan Roger dos Santos Silva Pablo Agustin Vargas Márcio Ajudarte Lopes |
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Institution: | (1) Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira 901, Piracicaba, SP, CEP 13414-903, Brazil;(2) Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira 901, Piracicaba, SP, CEP 13414-903, Brazil; |
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Abstract: | Paracoccidioidomycosis is a fungal infection caused by Paracoccidioides brasiliensis. It is an endemic disease, representing a serious health problem in Latin American countries. This infection primarily affects
the lungs and is acquired by inhalation of the fungus. It can spread to other organs and tissues, mainly the oral cavity affecting
more adult men from 30 to 50 years of age. On clinical presentation, several signs associated with impaired general and nutritional
conditions can be noted. Oral manifestation is more common in the soft palate, gingiva, lower lip, buccal mucosa, and tongue.
The classical clinical presentation is a superficial ulcer with granular appearance and hemorrhagic points. Usually, the oral
lesion is extensive and generalized. Although uncommon, when the oral manifestation is single, others lesions, particularly
squamous cell carcinoma, must be included in the differential diagnosis. In this article, the authors discuss the unusual
presentation of eight cases of single oral paracoccidioidomycosis and its diagnostic importance. |
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