The importance of intraoral examination in the differential diagnosis of paracoccidioidomycosis

Revista Brasileira de Otorrinolaringologia

Souza, Leandro Napier de¹  University of Maryland Dental School¹  Chrcanovic, Bruno Ramos¹  Universidade Federal dos Vales do Jequitinhonha e Mucuri¹  Jham, Bruno Correia¹  Souza, Ana Cristina Rodrigues Antunes de¹  Fernandes, Anacelia Mendes¹  UFMG¹  Duraes, Gabriela Versiani¹  University of Maryland, Baltimore¹ 

关键词: differential diagnosis;    oral lesions;    paracoccidioidomycosis;    pneumonia;    tuberculosis.;   

DOI  :  10.1590/S0034-72992008000600022

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

Paracoccidioidomycosis (PCM) is a deep mycosis caused by the Paracoccidioides brasiliensis fungus. The primary disease affects the lungs, and can spread to other organs and tissues, creating secondary lesions.1The most frequent systemic signs and symptoms are cough, lung secretion and weight loss.2 When present, the oral lesions are characterized by red and punctual micropapulae, settled amidst the whitish membrane of an ulcer.3This paper reports two cases of PCM, initially diagnosed like other pulmonary diseases, where the definitive diagnosis was only possible after a histopathology test of the oral lesions. 

【 授权许可】

Unknown