Paracoccidioidomycosis: Report Case

Paracoccidioidomycosis is a fungal systemic disease with involvement of the lung and buccal mucosa. Objective: A brief bibliographic survey and clinical case report. Case report: A 48-year-old male patient, former smoker, alcoholic and drug user attended the Stomatology Service Lins School of Dentistry with ulcerated lesions in the perioral and intraoral region, with painful symptomatology, weight loss, and severe cough. It was clinically evaluated with suspected paracoccidioidomycosis and underwent complementary tests, including biopsy for evidence of the yeast form of Paracoccidioides brasiliensis. Complementary exams and biopsy were conclusive for paracoccidiodoimycosis, with primary pulmonary involvement and secondary buccal mucosa involvement, being submitted to antifungal treatment with excellent result in thirty days. Conclusion: The dental surgeon must know to diagnose and treat systemic diseases with oral involvement, such as paracoccidioidomycosis, including in a multidisciplinary way, with periodic proservation of the patient, since the lesions may recur due to exacerbation of the clinical picture, drug resistance or even negligence of the patient regarding treatment and adverse drug effects. Key words: Paracocidioidomycosis; Mycoses; Pneumopathies; Oral Diseases