PMID- 25652419
OWN - NLM
STAT- MEDLINE
DCOM- 20160127
LR  - 20181113
IS  - 1573-0832 (Electronic)
IS  - 0301-486X (Linking)
VI  - 179
IP  - 5-6
DP  - 2015 Jun
TI  - Synchronous oral paracoccidioidomycosis and pulmonary tuberculosis in an 
      immunocompetent patient.
PG  - 459-64
LID - 10.1007/s11046-015-9868-3 [doi]
AB  - Paracoccidioidomycosis (PCM) and tuberculosis (TB) are chronic granulomatous 
      infectious diseases, in which the main form of contraction is through inhalation 
      of the microorganism-Paracoccidioides brasiliensis and Mycobacterium 
      tuberculosis. Oral involvement of PCM is observed in up to 70 % of the cases and 
      usually presents clinically as ulcerations with granular surface showing tiny 
      hemorrhagic areas. Oral presentation of TB is rare with prevalence smaller than 
      0.5 % of all cases. Clinical presentation of oral TB mainly consists of single 
      ulcers with irregular limits and necrotic base. A 70-year-old immunocompetent man 
      presented simultaneously oral PCM and pulmonary TB. Medical history revealed a 
      previous diagnosis of pulmonary TB; however, even under treatment for TB, the 
      patient remained with oral lesions and intense pulmonary fibrosis. The physician 
      requested P. brasiliensis serological analysis, which resulted positive. Although 
      the combination of PCM and TB has been reported in the literature, it is still 
      considered an uncommon condition and their diagnosis may represent a challenge to 
      healthcare professionals because of the similarity between their clinical and 
      radiological presentations.
FAU - Amorim Pellicioli, Ana Carolina
AU  - Amorim Pellicioli AC
AD  - Piracicaba Dental School, State University of Campinas - UNICAMP, Piracicaba, 
      Brazil.
FAU - Neves-Silva, Rodrigo
AU  - Neves-Silva R
FAU - Santos-Silva, Alan Roger
AU  - Santos-Silva AR
FAU - Vargas, Pablo Agustin
AU  - Vargas PA
FAU - Lopes, Marcio Ajudarte
AU  - Lopes MA
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150205
PL  - Netherlands
TA  - Mycopathologia
JT  - Mycopathologia
JID - 7505689
SB  - IM
MH  - Aged
MH  - Histocytochemistry
MH  - Humans
MH  - Lung/pathology
MH  - Male
MH  - Microscopy
MH  - Mouth Diseases/complications/diagnosis/pathology
MH  - Mycobacterium tuberculosis/*isolation & purification
MH  - Paracoccidioides/*isolation & purification
MH  - Paracoccidioidomycosis/*complications/*diagnosis/pathology
MH  - Radiography, Thoracic
MH  - Tuberculosis, Pulmonary/*complications/*diagnosis/pathology
EDAT- 2015/02/06 06:00
MHDA- 2016/01/28 06:00
CRDT- 2015/02/06 06:00
PHST- 2014/07/29 00:00 [received]
PHST- 2015/01/27 00:00 [accepted]
PHST- 2015/02/06 06:00 [entrez]
PHST- 2015/02/06 06:00 [pubmed]
PHST- 2016/01/28 06:00 [medline]
AID - 10.1007/s11046-015-9868-3 [doi]
PST - ppublish
SO  - Mycopathologia. 2015 Jun;179(5-6):459-64. doi: 10.1007/s11046-015-9868-3. Epub 
      2015 Feb 5.