Webber Liana Preto, Martins Manoela Domingues, de Oliveira Márcia Gaiger, Munhoz Etiene Andrade, Carrard Vinicius Coelho
Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Contemp Clin Dent. 2014 Apr;5(2):213-6. doi: 10.4103/0976-237X.132340.
Paracoccidioidomycosis (PCM) is a deep mycosis with primary lung manifestations that may present cutaneous and oral lesions. Oral lesions mimic other infectious diseases or even squamous cell carcinoma, clinically and microscopically. Sometimes, the dentist is the first to detect the disease, because lung lesions are asymptomatic, or even misdiagnosed. An unusual case of PCM with 5 months of evolution presenting pulmonary, oral, and cutaneous lesions that was diagnosed by the dentist based on oral lesions is presented and discussed.
副球孢子菌病（PCM）是一种深部真菌病，主要表现为肺部症状，也可能出现皮肤和口腔病变。在临床和显微镜下，口腔病变与其他传染病甚至鳞状细胞癌相似。有时，牙医是首个发现该病的人，因为肺部病变没有症状，甚至可能被误诊。本文介绍并讨论了一例病程长达5个月的不寻常PCM病例，该病例表现为肺部、口腔和皮肤病变，由牙医根据口腔病变确诊。
