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口腔表现后诊断的罕见的荚膜组织胞浆菌病肠道累及

Unusual Intestinal Involvement by Paracoccidioidomycosis Diagnosed After Oral Manifestation.

机构信息

Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas (UNICAMP), Av. Limeira, 901, Piracicaba, SP, CEP 13.414-903, Brazil.

Department of Tropical Diseases, School of Medicine, São Paulo State University (UNESP), Av. Prof. Montenegro, s/n, Botucatu, SP, CEP: 18618-687, Brazil.

出版信息

Mycopathologia. 2018 Dec;183(6):987-993. doi: 10.1007/s11046-018-0250-0. Epub 2018 Feb 16.

Abstract

Paracoccidioidomycosis is a common deep fungus infection in South America, particularly in Brazil. It is acquired through inhalation and primary involvement of lungs. Subsequently, dissemination may occur and oral mucosa is frequently affected and actually, in most of the cases the diagnosis is established because of the oral lesions. Thus, the role of the dentist is fundamental to correct diagnosis. However, the involvement of intestine is rarely reported. The current case describes a 36-year-old man who presented abdominal pain and intestinal constipation, being suspected and then confirmed as paracoccidioidomycosis after already be diagnosed with this disease by a dentist through oral manifestations.

摘要

球孢子菌病是南美的一种常见深部真菌感染,尤其在巴西较为常见。这种疾病通过吸入病原体而感染,肺部是最初的受累器官。随后,可能会发生播散,口腔黏膜常受累,实际上,在大多数情况下,由于口腔病变而做出诊断。因此,牙医的作用对于正确诊断至关重要。然而,肠道受累的情况很少见报告。本病例描述了一位 36 岁男性,他因腹痛和肠梗阻就诊,在牙医通过口腔表现诊断为该病后,被怀疑并随后确诊为球孢子菌病。

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