PP - ORAL PARACOCCIDIOIDOMYCOSIS: A CASE REPORT

Abstract

Paracoccidioidomycosis is a mucocutaneous disease that often involves the oral mucosa and may clinically resemble other infectious and neoplastic processes. The present report describes a Brazilian patient from the northeast region of the country who developed oral manifestations due to Paracoccidioides brasiliensis infection. A 59-year-old black male presented with a symptomatic ulcer, with a granular purpuric surface, which appeared four months before the appointment. The patient has been a heavy smoker and an alcohol addict for 44 years. No productive cough was observed, but the patient was much debilitated. Palpable and symptomatic submandibular lymph nodes were observed. The oral examination showed ulcerated lesions with granular surface, in the form of mulberry-like granulomatous lesions, located in the lower lip vermilion border, and on the gingival, tongue and buccal mucosae. Characteristic fungal cells with characteristic granulomatous inflammatory reaction were present in HE and Grocott-Gomori methenamine silver stain. The patient was referred to and treated at the infectology center. The whole diagnostic process was conducted by a stomatologist. The patient presented undiagnosed pulmonary involvement. This case shows that the stomatologist has an important role in the early diagnosis of this condition because adequate therapy can prevent extensive tissue destruction. Keywords: Mouth Diseases. Paracoccidioidomycosis.