NUMERO: #20241035

Título: SOLITARY ORAL PARACOCCIDIOIDOMYCOSIS WITHOUT PULMONARY SYMPTOMS: A CASE REPORT

Nome do Apresentador: Juan Martin PIMENTEL SOLA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: Objective: To present a rare clinical case of oral paracoccidioidomycosis without pulmonary symptoms, emphasizing the clinical challenge to diagnose deep mycosis in dental practice.
Case Description: 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 three-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 Paracoccidioidiomycosis. Clinical Evolution: The patient was treated with intravenous amphotericin B 50 mg every 24 hours for ten days, followed by oral itraconazole 200 mg every 12 hours for 9 months. Conclusion: Correct diagnosis of this fungal infection is crucial, emphasizing interdisciplinary collaboration among different specialties.

Autor 1:  Juan Martin PIMENTEL SOLA

E-mail 1:  [email protected]

Autor 2:   Ignacio MOLINA AVILA

E-mail 2:  [email protected]

Autor 3 :  Ruth VALDEZ

E-mail 3:  [email protected]

Autor 4:  Yone CHACON

E-mail 4:  [email protected]

Autor 5:  Gerardo GILLIGAN

E-mail 5:  [email protected]