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Sporotrichosis in an HIV-positive man with oral lesions: a case report
Authors:Fontes Patrícia Campos  Kitakawa Dárcio  Carvalho Yasmin Rodarte  Brandão Adriana Aigotti Haberbeck  Cabral Luiz Antonio Guimarães  Almeida Janete Dias
Affiliation:Postgraduate Program in Oral Biopathology and Department of Biosciences and Oral Diagnosis, S?o José dos Campos Dental School, S?o José dos Campos, S?o Paulo, Brazil.
Abstract:BACKGROUND: Sporotrichosis is a granulomatous fungal infection caused by Sporothrix schenckii, which frequently causes cutaneous or lymphocutaneous lesions and rarely has oral manifestations. CASE: A 38-year-old, white, HIV-positive man complained of a 5.0-cm, symptomatic, ulcerated lesion with thin, superficial granulation in the soft palate extending to the uvula. Exfoliative cytology of this oral lesion showed chronic granulomatous inflammatory alterations and extracellular fungal structures consisting of periodic acid-Schiff-positive budding cells and spherical or elongated (cigar bodies) free spore forms. CONCLUSION: The clinical and cytologic findings allowed the diagnosis of sporotrichosis, demonstrating the importance of cytodiagnosis in fungal diseases.
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