Diagnosis at different stages of paracoccidioidomycosis with oral manifestation: Report of two cases
Paracocciodiomycosis (PCDM) is a chronic systemic fungal infection, mainly affecting residents and rural workers, being characterized by a long incubation period, which it can take months or years without clinical manifestations, making diagnosis late and difficult. Depending on the stage of the dis...
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| Published in: | Journal de mycologie médicale Vol. 30; no. 4; p. 101025 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-12-2020
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| Abstract | Paracocciodiomycosis (PCDM) is a chronic systemic fungal infection, mainly affecting residents and rural workers, being characterized by a long incubation period, which it can take months or years without clinical manifestations, making diagnosis late and difficult. Depending on the stage of the disease, it can cause sequelae and low quality of life, so its correct diagnosis is of great importance for the accurate treatment. Therefore, the aim of this report is to present two cases of diagnosis of patients with PCDM at different stages, who developed chronic manifestations, pain, clinical involvement of the oral cavity and in one case also presented lung injury with fibrosis, as well as to weight loss, dysphagia and cachexia. Both of patients were treated with antifungal therapy and it was observed total remission of the lesions and no recurrences were detected. |
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| AbstractList | Paracocciodiomycosis (PCDM) is a chronic systemic fungal infection, mainly affecting residents and rural workers, being characterized by a long incubation period, which it can take months or years without clinical manifestations, making diagnosis late and difficult. Depending on the stage of the disease, it can cause sequelae and low quality of life, so its correct diagnosis is of great importance for the accurate treatment. Therefore, the aim of this report is to present two cases of diagnosis of patients with PCDM at different stages, who developed chronic manifestations, pain, clinical involvement of the oral cavity and in one case also presented lung injury with fibrosis, as well as to weight loss, dysphagia and cachexia. Both of patients were treated with antifungal therapy and it was observed total remission of the lesions and no recurrences were detected. |
| ArticleNumber | 101025 |
| Author | de Oliveira, M.S. Fernandes, T.B. Vilela, E.M. Sanches, G.T. de Carvalho, M.F. de Abreu Guimarães, L.D. de Lima Medeiros, Y. |
| Author_xml | – sequence: 1 givenname: M.S. surname: de Oliveira fullname: de Oliveira, M.S. organization: Dentistry Student, Federal University of Juiz de Fora, Minas Gerais, Brazil – sequence: 2 givenname: T.B. surname: Fernandes fullname: Fernandes, T.B. organization: Dentistry Student, Federal University of Juiz de Fora, Minas Gerais, Brazil – sequence: 3 givenname: Y. surname: de Lima Medeiros fullname: de Lima Medeiros, Y. organization: Dentistry Student, Federal University of Juiz de Fora, Minas Gerais, Brazil – sequence: 4 givenname: L.D. surname: de Abreu Guimarães fullname: de Abreu Guimarães, L.D. organization: Department of Stomatology, University of São Paulo, São Paulo, Brazil – sequence: 5 givenname: G.T. surname: Sanches fullname: Sanches, G.T. organization: Department of Stomatology, University of São Paulo, São Paulo, Brazil – sequence: 6 givenname: M.F. surname: de Carvalho fullname: de Carvalho, M.F. organization: Department of Dental Clinical, Federal University of Juiz de Fora, Minas Gerais, Brazil – sequence: 7 givenname: E.M. surname: Vilela fullname: Vilela, E.M. email: eduardo.vilela@ufjf.br organization: Department of Dental Clinical, Federal University of Juiz de Fora, Minas Gerais, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32855057$$D View this record in MEDLINE/PubMed |
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| Keywords | Infection PAS Oral diagnosis Paracoccidioidomycosis PCDM mg kg Lung injury |
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Shikanai-Yasuda – volume: 11 start-page: e865 year: 2019 ident: 10.1016/j.mycmed.2020.101025_bib0125 article-title: Oral paracoccidioidomycosis in a non-endemic region from Brazil: a short case series publication-title: J Clin Exp Dent contributor: fullname: Souza – volume: 60 start-page: 521 year: 2017 ident: 10.1016/j.mycmed.2020.101025_bib0130 article-title: Oral paracoccidioidomycosis: retrospective analysis of 55 Brazilian patients publication-title: Mycoses doi: 10.1111/myc.12622 contributor: fullname: Trindade – volume: 57 start-page: 11 year: 2015 ident: 10.1016/j.mycmed.2020.101025_bib0135 article-title: Epidemiology of paracoccidioidomycosis publication-title: Rev Inst Med Trop doi: 10.1590/S0036-46652015000700004 contributor: fullname: Martinez – volume: 110 start-page: 80 year: 2017 ident: 10.1016/j.mycmed.2020.101025_bib0165 article-title: Cancer and mycoses and literature review publication-title: Bull Soc Pathol Exot doi: 10.1007/s13149-017-0543-9 contributor: fullname: Develoux – volume: 54 start-page: 189 year: 2011 ident: 10.1016/j.mycmed.2020.101025_bib0170 article-title: Paracoccidioidomycosis: a series of 66 patients with oral lesions from an endemic area publication-title: Mycoses doi: 10.1111/j.1439-0507.2010.01873.x contributor: fullname: Brazão-Silva – volume: 24 start-page: 1492 year: 2018 ident: 10.1016/j.mycmed.2020.101025_bib0185 article-title: A Multicentre study of oral paracoccidioidomycosis: analysis of 320 cases and literature review publication-title: Oral Dis doi: 10.1111/odi.12925 contributor: fullname: de Arruda – volume: 173 start-page: 47 year: 2012 ident: 10.1016/j.mycmed.2020.101025_bib0120 article-title: Single oral paracoccidioidomycosis mimicking other lesions: report of eight cases publication-title: Mycopathologia doi: 10.1007/s11046-011-9461-3 contributor: fullname: Godak – volume: 184 start-page: 193 year: 2019 ident: 10.1016/j.mycmed.2020.101025_bib0115 article-title: Oral biopsy for early diagnosis of paracoccidioidomycosis publication-title: Mycopathologia doi: 10.1007/s11046-018-0311-4 contributor: fullname: Guimarães MRFSG |
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| SubjectTerms | Antifungal Agents - therapeutic use Disease Progression Humans Infection Itraconazole - therapeutic use Lung injury Male Middle Aged Mouth - microbiology Mouth - pathology Mouth - surgery Mouth Diseases - diagnosis Mouth Diseases - drug therapy Mouth Diseases - microbiology Mouth Diseases - surgery Oral diagnosis Paracoccidioidomycosis Paracoccidioidomycosis - diagnosis Paracoccidioidomycosis - drug therapy Paracoccidioidomycosis - pathology Paracoccidioidomycosis - surgery Radiography, Thoracic Respiratory Tract Infections - diagnosis Respiratory Tract Infections - drug therapy Respiratory Tract Infections - microbiology Respiratory Tract Infections - surgery |
| Title | Diagnosis at different stages of paracoccidioidomycosis with oral manifestation: Report of two cases |
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