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作为全身性球孢子菌病表现的舌部溃疡性病变

Ulcerated Lesion of the Tongue as Manifestation of Systemic Coccidioidomycosis.

作者信息

Mendez Luis A, Flores Sergio A, Martinez Ricardo, de Almeida Oslei Paes

机构信息

Basic Sciences, University of Montemorelos, School of Dentistry, Montemorelos, NL, Mexico.

Oral and Maxillofacial Surgery, IMSS, Saltillo, COAH, Mexico.

出版信息

Case Rep Med. 2017;2017:1489501. doi: 10.1155/2017/1489501. Epub 2017 Mar 13.

DOI:10.1155/2017/1489501
PMID:28386282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5366790/
Abstract

Systemic mycoses and their oral manifestations are very rare. We present a case of a 60-year-old man with an ulcerated lesion on the lateral border of the tongue. Histologic studies revealed a granulomatous fungal infection by . After pharmacological treatment, the lesion resolved. Recently, northern Mexico has been reported to be an endemic zone of . infections; therefore it should be considered in the differential diagnosis of mouth lesions. A comprehensive clinical history, physical exploration, and complementary studies are essential for an accurate diagnosis.

摘要

全身性真菌病及其口腔表现非常罕见。我们报告一例60岁男性，其舌外侧缘有溃疡性病变。组织学研究显示由……引起的肉芽肿性真菌感染。经过药物治疗，病变消退。最近，据报道墨西哥北部是……感染的流行区；因此，在口腔病变的鉴别诊断中应考虑到这一点。全面的临床病史、体格检查和辅助检查对于准确诊断至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/c95bb4844aa6/CRIM2017-1489501.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/bff20a8c8e23/CRIM2017-1489501.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/b3dd22216140/CRIM2017-1489501.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/5131c49f146b/CRIM2017-1489501.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/c30f3ae8fa67/CRIM2017-1489501.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/7430dd2126be/CRIM2017-1489501.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/c95bb4844aa6/CRIM2017-1489501.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/bff20a8c8e23/CRIM2017-1489501.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/b3dd22216140/CRIM2017-1489501.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/5131c49f146b/CRIM2017-1489501.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/c30f3ae8fa67/CRIM2017-1489501.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/7430dd2126be/CRIM2017-1489501.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8b0/5366790/c95bb4844aa6/CRIM2017-1489501.006.jpg

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本文引用的文献

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Case of coccidioidomycosis in Ireland.爱尔兰球孢子菌病病例。
BMJ Case Rep. 2016 Aug 11;2016:bcr2016215898. doi: 10.1136/bcr-2016-215898.
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Cutaneous coccidioidomycosis: a great mimicker.皮肤球孢子菌病：一种极具伪装性的疾病。
BMJ Case Rep. 2015 Jul 27;2015:bcr2015211680. doi: 10.1136/bcr-2015-211680.
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Coccidioidomycosis of the tongue.
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