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Reyes-Correa AJ, Hernández-Flórez N, Hernández-Espinosa CJ, García-Ayala E. [Oral paracoccidiodomycosis in an immunocompetent woman: a case report and literature review]. REVISTA ESPANOLA DE PATOLOGIA : PUBLICACION OFICIAL DE LA SOCIEDAD ESPANOLA DE ANATOMIA PATOLOGICA Y DE LA SOCIEDAD ESPANOLA DE CITOLOGIA 2022; 55:236-239. [PMID: 36154729 DOI: 10.1016/j.patol.2021.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/22/2021] [Accepted: 04/03/2021] [Indexed: 06/16/2023]
Abstract
Paracoccidioidomycosis is a progressive, chronic, systemic disease which is the second most common form of mycosis in South America, affecting approximately 10million people in this region. It occurs most commonly in adult male farmers and mainly affects the lungs. Oral paracoccidioidomycosis is the second most frequent chronic presentation. We report the case of an immunocompetent female patient whose oral mucosae was infected with paracoccidium and discuss oral paracoccidium.
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Affiliation(s)
| | | | | | - Ernesto García-Ayala
- Departamento de Patología, Universidad Industrial de Santander, Bucaramanga (Santander), Colombia
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2
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Montalvo R, Díaz A, Montalvo J, Pomazongo M, Montalvo M, Tunque E. Disseminated paracoccidioidomycosis associated with lymph node tuberculosis in a non immunocompromised child. IDCases 2022; 29:e01507. [PMID: 35663608 PMCID: PMC9157441 DOI: 10.1016/j.idcr.2022.e01507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 05/01/2022] [Accepted: 05/16/2022] [Indexed: 10/29/2022] Open
Abstract
The association of paracoccidioidomycosis (PCM) and tuberculosis (TB) produces an uncommon hyperinflammatory syndrome, causing multiorgan dysfunction. TB associated PCM is a rare condition, but it is fatal if not treated. Herein, we present a immunocompetent child who is admitted for fever and painful lymphadenopathy, with evidence of acid-alcohol-resistant bacillus (AARB) in cervical lymph node biopsy, antituberculous treatment was started with partial clinical improvement and is given discharge from hospital. At 3 weeks, he was readmitted by fever, weight loss, dyspnea and a greater number of adenopathies, in the new biopsy multiple yeasts were found compatible with PCM, our patient responded well to the combination of antituberculosis therapy(ATT), corticosteroid, and amphotericin B deoxycholate, presenting clinical improvement and subsequently continued with itraconazole.
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Affiliation(s)
| | | | | | - Manuel Pomazongo
- Universidad Nacional Daniel Alcides Carrión, Cerro de Pasco, Peru
| | - Miguel Montalvo
- Hospital Regional Materno Infantil El Carmen, Huancayo, Peru
| | - Edison Tunque
- Hospital Regional Materno Infantil El Carmen, Huancayo, Peru
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Falcão EMM, de Macedo PM, Freitas DFS, Coutinho ZF, Quintella LP, Almeida-Paes R, Zancopé-Oliveira RM, do Valle ACF. Destructive genital and oral ulcers in rural patients. JAAD Case Rep 2021; 11:127-129. [PMID: 33997212 PMCID: PMC8094395 DOI: 10.1016/j.jdcr.2021.03.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Eduardo Mastrangelo Marinho Falcão
- Clinical Research Laboratory on Infectious Dermatology, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil
| | - Priscila Marques de Macedo
- Clinical Research Laboratory on Infectious Dermatology, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil
| | - Dayvison Francis Saraiva Freitas
- Clinical Research Laboratory on Infectious Dermatology, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil
| | - Ziadir Francisco Coutinho
- Germano Sinval Faria School Health Center, Sergio Arouca National School of Public Health, Rio de Janeiro, Brazil
| | - Leonardo Pereira Quintella
- Anatomical Pathology Service, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil
| | - Rodrigo Almeida-Paes
- Mycology Laboratory, Evandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil
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de Castro TF, Tomo S, Santos-Silva AR, Bernabé DG, Biasoli ÉR, Crivelini MM, Okamoto AC, Miyahara GI. Granulomatous ulceration of the palate. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 131:390-394. [PMID: 32593618 DOI: 10.1016/j.oooo.2020.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 04/21/2020] [Accepted: 05/13/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Tamara Fernandes de Castro
- Oral Oncology Center, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Saygo Tomo
- Oral Oncology Center, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Alan Roger Santos-Silva
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil
| | - Daniel Galera Bernabé
- Oral Oncology Center, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Éder Ricardo Biasoli
- Oral Oncology Center, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Marcelo Macedo Crivelini
- Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Ana Cláudia Okamoto
- Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Glauco Issamu Miyahara
- Oral Oncology Center, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Department of Diagnosis and Surgery, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil.
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5
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Leite MGM, Freitas EDS, de Vasconcelos Ii AJA, Pinheiro TN. Low-Level Laser Therapy Approach of Bilateral Necrotizing Sialometaplasia of the Hard and Soft Palates. J Lasers Med Sci 2020; 11:348-354. [PMID: 32802297 DOI: 10.34172/jlms.2020.56] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Introduction: Necrotizing sialometaplasia (NS) is a rare locally destructive inflammatory benign disease that commonly affects the minor salivary glands. It is frequently associated with the glands located in the posterior portion of the hard and soft palates. Low-level laser therapy (LLLT), also called photobiomodulation therapy (PBMT), has been deemed a substantial method for the regenerative wound process. Case Presentation: A 32-year-old male patient was referred with a chief complaint of two asymptomatic crater-like ulcers measuring approximately 1.5 cm wide on the right side of the hard and soft palates, and another measuring 0.3 cm wide on the left side of the hard palate. The lesion had two weeks of evolution followed by a previous infectious "sore throat" event that kept the patient hospitalized for 4 days. A clinical diagnosis of NS was made. LLLT was applied during 2 sessions per week, favoring the total wound healing within 2 weeks. At 3 months of clinical followup, the patient did not present any complication or relapse and was thus released. Conclusion: This is, to our knowledge, the first clinical report of LLLT applied for the management of NS. Large palatal ulcers caused by NS usually have long healing periods. The shortened healing period observed in this case encourages the inclusion of LLLT in any treatment protocol for similar lesions.
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Affiliation(s)
- Milena Gomes Melo Leite
- Undergraduate Student, Superior School of Health Science, Amazonas State University, Av. Carvalho Leal, 1777, Cachoeirinha, Manaus-AM, 69065-001, Brazil
| | - Eliandro de Souza Freitas
- Undergraduate Student, Superior School of Health Science, Amazonas State University, Av. Carvalho Leal, 1777, Cachoeirinha, Manaus-AM, 69065-001, Brazil
| | | | - Tiago Novaes Pinheiro
- DDS, MSc, PhD, Superior School of Health Science, Amazonas State University, Av. Carvalho Leal, 1777, Cachoeirinha, Manaus-AM, 69065-001, Brazil
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Wipf A, Wipf H, Miller D. Sweet syndrome with pseudocarcinomatous hyperplasia: A case report and review of the literature. J Cutan Pathol 2019; 46:520-527. [DOI: 10.1111/cup.13436] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 01/16/2019] [Accepted: 01/17/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Angela Wipf
- Department of DermatologyUniversity of Minnesota Minneapolis Minnesota
| | - Heidi Wipf
- Department of DermatologyUniversity of Minnesota Minneapolis Minnesota
| | - Daniel Miller
- Department of DermatologyUniversity of Minnesota Minneapolis Minnesota
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de Arruda JAA, Schuch LF, Abreu LG, Silva LVDO, Mosconi C, Monteiro JLGC, Batista AC, Hildebrand LDC, Martins MD, Sobral APV, Rivero ERC, Gomes APN, Silva TA, Vasconcelos ACU, Mesquita RA. A multicentre study of oral paracoccidioidomycosis: Analysis of 320 cases and literature review. Oral Dis 2018; 24:1492-1502. [DOI: 10.1111/odi.12925] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 05/29/2018] [Accepted: 06/20/2018] [Indexed: 12/18/2022]
Affiliation(s)
- José Alcides Almeida de Arruda
- Department of Oral Surgery and Pathology, School of Dentistry; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | - Lauren Frenzel Schuch
- Diagnostic Centre for Oral Diseases, School of Dentistry; Universidade Federal de Pelotas; Pelotas Brazil
| | - Lucas Guimarães Abreu
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | | | - Carla Mosconi
- Department of Stomathology (Oral Pathology), School of Dentistry; Universidade Federal de Goiás; Goiânia Brazil
| | | | - Aline Carvalho Batista
- Department of Stomathology (Oral Pathology), School of Dentistry; Universidade Federal de Goiás; Goiânia Brazil
| | - Laura de Campos Hildebrand
- Department of Oral Pathology, School of Dentistry; Universidade Federal do Rio Grande do Sul; Porto Alegre Brazil
| | - Manoela Domingues Martins
- Department of Oral Pathology, School of Dentistry; Universidade Federal do Rio Grande do Sul; Porto Alegre Brazil
| | - Ana Paula Veras Sobral
- Department of Oral and Maxillofacial Pathology and Surgery, School of Dentistry; Universidade de Pernambuco; Camaragibe Brazil
| | - Elena Riet Correa Rivero
- Department of Pathology, Health Sciences Centre; Universidade Federal de Santa Catarina; Florianópolis Brazil
| | - Ana Paula Neutzling Gomes
- Diagnostic Centre for Oral Diseases, School of Dentistry; Universidade Federal de Pelotas; Pelotas Brazil
| | - Tarcília Aparecida Silva
- Department of Oral Surgery and Pathology, School of Dentistry; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | | | - Ricardo Alves Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
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An ulcer on the ventral tip of tongue. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:92-96. [PMID: 29653816 DOI: 10.1016/j.oooo.2018.01.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 01/04/2018] [Accepted: 01/19/2018] [Indexed: 12/16/2022]
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9
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dos Santos LFM, Melo NB, de Carli ML, Mendes ACSC, Bani GMAC, Verinaud LM, Burger E, de Oliveira I. Moraes G, Pereira AAC, Brigagão MRL, Hanemann JAC, Sperandio FF. Photodynamic inactivation of Paracoccidioides brasiliensis helps the outcome of oral paracoccidiodomycosis. Lasers Med Sci 2017; 32:921-930. [DOI: 10.1007/s10103-017-2193-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 03/14/2017] [Indexed: 12/19/2022]
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do Prado Gomes Pedreira R, de Carli ML, Beijo LA, Nonogaki S, Pereira AAC, Junior NVR, Sperandio FF, Hanemann JAC. Oral Paracoccidioidomycosis Granulomas are Predominantly Populated by CD163+ Multinucleated Giant Cells. Mycopathologia 2016; 181:709-16. [PMID: 27236303 DOI: 10.1007/s11046-016-0016-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2016] [Accepted: 05/03/2016] [Indexed: 01/29/2023]
Abstract
Multinucleated giant cells (MGC) are considered to be a hallmark of granulomatous inflammation; thus, they may play an essential role in the host response against pathogens, particularly Paracoccidioides brasiliensis. This study characterizes the MGC found in oral paracoccidioidomycosis and assesses the correlation of MGC with the amount of fungi within oral tissues. Twenty-six cases were included. They were classified as loose or dense granulomas, and the total MGC, including foreign-body and Langhans giant cells, besides the total and intracellular fungi, were taken into consideration. CD163 immunoexpression was performed, and CD163+ multinucleated giant cells were also quantified. Dense granulomas revealed more foreign-body type and total giant cells than loose granulomas (P < 0.05). Total giant cells showed a positive linear correlation with the CD163+ cells (P = 0.003; r = 0.56) and intracellular fungi quantification (P = 0.045; r = 0.40). Oral paracoccidioidomycosis lesions contain MGC that mainly belong to a CD163+ phenotype, also showing both Langhans and foreign-body arrangements. Additionally, the higher the presence of MGC, the higher the amount of phagocytized fungi.
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Affiliation(s)
- Renato do Prado Gomes Pedreira
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - Marina Lara de Carli
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - Luiz Alberto Beijo
- Institute of Exact Sciences, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - Suely Nonogaki
- Pathology Center, Adolfo Lutz Institute, Av. Dr. Arnaldo, 355 Cerqueira César, São Paulo, SP, 01246-902, Brazil
| | - Alessandro Antônio Costa Pereira
- Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - Noé Vital Ribeiro Junior
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - Felipe Fornias Sperandio
- Department of Pathology and Parasitology, Institute of Biomedical Sciences, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil
| | - João Adolfo Costa Hanemann
- Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, MG, 37130-000, Brazil.
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de Carli ML, Cardoso BCB, Malaquias LCC, Nonogaki S, Pereira AAC, Sperandio FF, Hanemann JAC. Serum antibody levels correlate with oral fungal cell numbers and influence the patients' response to chronic paracoccidioidomycosis. Mycoses 2015; 58:356-61. [DOI: 10.1111/myc.12325] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2015] [Revised: 03/13/2015] [Accepted: 03/18/2015] [Indexed: 12/26/2022]
Affiliation(s)
- Marina Lara de Carli
- Department of Clinic and Surgery; School of Dentistry; Federal University of Alfenas; Alfenas MG Brazil
| | | | - Luiz Cosme Cotta Malaquias
- Department of Immunology and Microbiology; Institute of Biomedical Sciences; Federal University of Alfenas; Alfenas MG Brazil
| | - Suely Nonogaki
- Pathology Center; Adolfo Lutz Institute; São Paulo SP Brazil
| | | | - Felipe Fornias Sperandio
- Department of Pathology and Parasitology; Institute of Biomedical Sciences; Federal University of Alfenas; Alfenas MG Brazil
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