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J Mycol Med ; 30(4): 101025, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32855057

RESUMO

Paracocciodiomycosis (PCDM) is a chronic systemic fungal infection, mainly affecting residents and rural workers, being characterized by a long incubation period, which it can take months or years without clinical manifestations, making diagnosis late and difficult. Depending on the stage of the disease, it can cause sequelae and low quality of life, so its correct diagnosis is of great importance for the accurate treatment. Therefore, the aim of this report is to present two cases of diagnosis of patients with PCDM at different stages, who developed chronic manifestations, pain, clinical involvement of the oral cavity and in one case also presented lung injury with fibrosis, as well as to weight loss, dysphagia and cachexia. Both of patients were treated with antifungal therapy and it was observed total remission of the lesions and no recurrences were detected.


Assuntos
Doenças da Boca/diagnóstico , Boca/microbiologia , Paracoccidioidomicose/diagnóstico , Antifúngicos/uso terapêutico , Progressão da Doença , Humanos , Itraconazol/uso terapêutico , Masculino , Pessoa de Meia-Idade , Boca/patologia , Boca/cirurgia , Doenças da Boca/tratamento farmacológico , Doenças da Boca/microbiologia , Doenças da Boca/cirurgia , Paracoccidioidomicose/tratamento farmacológico , Paracoccidioidomicose/patologia , Paracoccidioidomicose/cirurgia , Radiografia Torácica , Infecções Respiratórias/diagnóstico , Infecções Respiratórias/tratamento farmacológico , Infecções Respiratórias/microbiologia , Infecções Respiratórias/cirurgia
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