NUMERO: #20230017

Título: Paracoccidioidomycosis should be considered on the differential diagnosis when evaluating oral ulcers

Nome do Apresentador: Bruno Teixeira Gonçalves RODRIGUES

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Patologia Oral

Resumo: Oral paracoccidioidomycosis (PM) is chronic granulomatous disease caused by the dimorphic fungus Paracoccidioidis brasiliensis that often presents clinically as a painful and bleeding ulcer - resembling a malignant lesion. Therefore, we report a case of a 56-year-old male that was referred for evaluation of an oral ulcer. Extraoral physical exam showed no alterations. Intraorally, an extense bleeding and painful ulcer was observed extended from the lower lip to the left buccal mucosa, crossing the mouth floor. The patient had no systemic disease and was a regular smoker. An incisional biopsy was performed under local anesthesia and histological diagnosis was PM. The patient was referred to the infectologist for treatment. PM should be considered in the differential diagnosis of oral ulcers.

Autor 1:  Bruno Teixeira Gonçalves RODRIGUES

E-mail 1:  [email protected]

Autor 2:   Nathália de ALMEIDA Freire

E-mail 2:  [email protected]

Autor 3 :  Wagner Pinto das CHAGAS

E-mail 3:  [email protected]

Autor 4:  Maria Eliza BARBOSA Ramos

E-mail 4:  [email protected]

Autor 5:  Rodrigo ALVITOS Pereira

E-mail 5:  [email protected]

Autor 6:  Fábio Ramoa PIRES

E-mail 6:  [email protected]

Autor 7:  Mônica Simões ISRAEL

E-mail 7:  [email protected]