Open Accessdiagnostic challenge in an individual with Paracoccidioidomycosis during hospitalization in times of COVID-19
Author(s) -
Mario Eduardo Baldo,
Regina Maria Raffaele,
Paulo Sérgio da Silva Santos,
Rondon Tosta Ramalho,
Luiz Carlos Takita
Publication year - 2022
Publication title -
deleted journal
Language(s) - English
Resource type - Journals
ISSN - 2411-2933
DOI - 10.31686/ijier.vol10.iss2.3660
Subject(s) - paracoccidioidomycosis , medicine , tongue , dysphagia , incisional biopsy , biopsy , dermatology , lesion , radiology , surgery , pathology
Paracoccidioidomycosis (PCM) is a deep fungal infection, endemic with considerable morbidity in South America, whose first symptoms can occur in the oral cavity. A 47-year-old male patient, leucoderma, living on the streets, presenting dyspnea, pain during the speech, and dysphagia, was referred for admission to the ICU for suspected COVID-19 infection. The intensive care physician's evaluation revealed a tongue lesion with suspected carcinoma. By dentist investigation, was observed the presence of moriform lesions with high borders delimitation in the tongue. Also, granulomatous ulcers with irregular texture, suggesting moriform stomatitis, the chest tomography revealed diffuse thickening of the bronchial walls, indicating chronic bronchopathy with discrete centrilobular nodules, sometimes confluent. Incisional tongue biopsy associated with lung imaging confirmed the diagnosis of PCM, and the patient was referred to the referral center for the treatment of fungal diseases. The involvement of the oral environment as a region to the appearance of detectable first symptoms of PCM suggests the need for the oral evaluation by a specialist as a diagnostic tool.