Open AccessPresence of Trichomonas spp. in oral ulcerations of a patient with kidney transplant. A case report
Author(s) -
Ganna Dmytrenko,
Lorena Tana,
María-Victoria Cachau,
Martín Bravo,
Silvina González,
Fernando Pérez Correa,
Javier FernándezSolari,
Andrea De Laurentiis
Publication year - 2020
Publication title -
journal of clinical and experimental dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.481
H-Index - 23
ISSN - 1989-5488
DOI - 10.4317/jced.56922
Subject(s) - immunosuppression , oral microbiology , medicine , trichomonas , etiology , lesion , opportunistic infection , oral mucosa , dermatology , kidney transplantation , pathology , kidney , biology , immunology , trichomonas vaginalis , human immunodeficiency virus (hiv) , gynecology , viral disease , genetics , bacteria
Mucosal ulcerations are an oral complication that can often affect kidney transplant patients, mostly due to the effect of immunosuppression. It has been frequently reported drug-induced ulceration or lymphoproliferative disorders with buccal manifestations however, some unusual disorders should also be considered, such as fungal infections, viruses, as well as opportunistic infection by other microorganisms. Determining the etiology and differential diagnose from other causes of mouth ulcers is very important for the adequate treatment of said lesion. Dental health of patients should also be taken into the account prior to the transplant surgery, since periodontal pockets are the main niche of microbial reservoir. Moreover, mixed with oral microbiota, parasites such as Trichomonas spp. can be found in the dental plaque of patients with periodontal disease. Particularly, Trichomonas spp. are anaerobic motile-flagellated protozoa that can both induce tissue damage and exacerbate preexistent injuries in vaginal and oral mucosa. Parasitic infection in the oral cavity has not been well studied and it is thought to be underreported. In the present study we report the first case in literature of presence of Trichomonas spp. as a potential etiological factor of the oral ulcerations of a kidney transplanted patient that remitted after antibiotic treatment. Key words: Immunosuppression, protozoan, buccal lesion, oral mucosa, kidney transplant.