DIAGNOSIS OF PARACOCCIDIOIDOMYCOSIS THROUGH ORAL MANIFESTATIONS: CASE REPORT

A 51-year-old white man sought dental care, with his major complaints of pain, numbness, and burning in the tongue and oropharynx occurring for about 3 months. Clinically, it was an ulcerated lesion, granular in appearance, with multiple hemorrhagic spots. The clinical diagnostic hypotheses were paracoccidioidomycosis and histoplasmosis. Incisional biopsies were performed on the buccal mucosa and hard palate, and the specimen was sent for histopathologic examination. The histopathologic diagnosis was paracoccidioidomycosis. The patient was referred to the infectious disease specialist, pulmonologist, and dermatologist. Chest x-rays and laboratory tests were requested. He is currently under treatment with sulfamethoxazole, trimetroprim, and itraconazole. Paracoccidioidomycosis is a systemic and endemic disease. Despite the primary pulmonary disease, the oral mucosa is frequently affected. In this way, the dentist has a fundamental role in the identification and diagnosis of these lesions.