Solitary oral paracoccidioidomycosis without pulmonary symptoms: a case report

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Oral Surgery Oral Medicine Oral Pathology Oral Radiology Pub Date : 2025-03-14 DOI:10.1016/j.oooo.2025.01.075

Juan Martin Pimentel Sola, Ignacio Molina Avila, Ruth Valdez, Yone Chacon, Gerardo Gilligan

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引用次数: 0

Abstract

To present a rare clinical case of oral Paracoccidioidomycosis without pulmonary symptoms, emphasizing the clinical challenge to diagnose deep mycosis in dental practice. We report a case of a 37-year-old unemployed male patient from Tartagal, Salta, referred to the Stomatology Unit of Hospital Señor del Milagro due to a 3-month history of ulcerative lesions on the lower lip, upper lip, and left buccal mucosa. The clinical hypothesis was a malignant lesion (oral squamous cell carcinoma). A fresh sample was obtained for Giemsa staining, an incisional biopsy was performed for histopathological examination with PAS staining, and a chest X-ray was suggested. The final diagnosis was Oral Paracoccidioidomycosis. The patient was treated with intravenous amphotericin B 50 mg every 24 hours for 10 days, followed by oral itraconazole 200 mg every 12 hours for 9 months. Correct diagnosis of this fungal infection is crucial, emphasizing interdisciplinary collaboration among different specialties.

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来源期刊

Oral Surgery Oral Medicine Oral Pathology Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.80

自引率

6.90%

发文量

1217

审稿时长

2-4 weeks

期刊介绍： Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology is required reading for anyone in the fields of oral surgery, oral medicine, oral pathology, oral radiology or advanced general practice dentistry. It is the only major dental journal that provides a practical and complete overview of the medical and surgical techniques of dental practice in four areas. Topics covered include such current issues as dental implants, treatment of HIV-infected patients, and evaluation and treatment of TMJ disorders. The official publication for nine societies, the Journal is recommended for initial purchase in the Brandon Hill study, Selected List of Books and Journals for the Small Medical Library.