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International journal of odontostomatology

On-line version ISSN 0718-381X

Abstract

GORDON-NUNEZ, Manuel Antônio et al. Recurrent Oral Manifestations of Paracoccidioidomycosis without Pulmonary Involvement: Case Report and Review of Literature. Int. J. Odontostomat. [online]. 2014, vol.8, n.2, pp.267-272. ISSN 0718-381X.  http://dx.doi.org/10.4067/S0718-381X2014000200020.

This article describes a case of recurrence of chronic paracoccidioidomycosis (PCM) 11 years following the initial diagnosis. The patient was a 51-year-old white Brazilian female, which had been previously diagnosed with PCM. The physical examination revealed the presence of a single crusted lesion in the upper lip and an elevated lesion with fibrous scar appearance on right buccal mucosa. Although the diagnosis of PCM, the absence of pulmonary involvement led to the biopsy of the lesion localized on the buccal mucosa and the histopathological analysis in H&E and PAS stains revealed no morphological changes suggestive of any lesion. However, the exfoliative cytology stained with Grocott-Gomori showed the presence of Paracoccidioides brasiliensis and the infection caused by this fungus was proven. Of this way, we emphasize the importance of stomatologic evaluation to the diagnosis of diseases that usually manifestssystemically. So, the correct diagnosis of oral manifestations of PCM, is essential to ensure early and safe intervention.

Keywords : paracoccidioidomycosis; paracoccidioides brasiliensis; oral mycosis; exfoliative cytology.

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