NUMERO: #20240537

Título: DIFFERENTIAL DIAGNOSIS OF GRANULOMATOUS LESIONS: AN ATYPICAL CASE OF TUBERCULOSIS IN THE PALATAL REGION

Nome do Apresentador: Túlio Silva ROSA

Categoria do Trabalho: Painel de pesquisa científica (PPC)

Área Temática: Estomatologia

Resumo: A 55-year-old female patient presented with an ulcerated lesion with a granulomatous appearance in the palate extending from the cervical region of the teeth, also affecting the vestibular surface. The lesion measured 2 cm and was asymptomatic. Previous medical history revealed a recent weight loss. The first diagnostic impression was paracoccidioidomycosis or another granulomatous lesion. Three incisional biopsies revealed chronic granulomatous infiltrate. Grocott-Gomori and PAS were negative for fungus infection. Acid-fast bacilli bacteria were not detected in Ziehl-Neelsen. Following the investigation, a chest X-ray revealed radiopaque lesions related to a fibro cicatricial process, suggestive of bronchiectasis. Tuberculosis was then suspected and the Mantoux test and sputum examination confirmed the diagnosis (13 mm diameter induration after tuberculin application). The patient was referred for treatment and reported remission of the lesions after the beginning of the medication. In conclusion, oral tuberculosis diagnosis is complex and requires correlation with adjuvant tests.

Autor 1:  Túlio Silva ROSA

E-mail 1:  [email protected]

Autor 2:   Riéli Elis SCHULZ

E-mail 2:  [email protected]

Autor 3 :  Lilian Bezerra DOMINGUES

E-mail 3:  [email protected]

Autor 4:  Rogério de Oliveira GONDAK

E-mail 4:  [email protected]

Autor 5:  Elena Riet Correa RIVERO

E-mail 5:  [email protected]

Autor 6:  Gustavo Davi RABELO

E-mail 6:  [email protected]

Autor 7:  Alessandra Rodrigues de CAMARGO

E-mail 7:  [email protected]