Oral manifestations of systemic fungal infections: 25-year experience in an endemic region
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| Formato: | Artículo científico |
| Lenguaje: | es |
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Universidade Estadual de Maringá
2021
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| author | Flávia Akemi Nakayama Henschel |
| author_facet | Flávia Akemi Nakayama Henschel |
| contents | Oral manifestations of systemic fungal infections: 25-year experience in an endemic region Flávia Akemi Nakayama Henschel Camila Camarini Mariliani Chicarelli da Silva Lilian Cristina Vessoni Iwaki Neli Peiralise Elen de Souza Tolentino Medicina mycoses histoplasmosis Oral manifestations retrospective studies paracoccidioidomycosis Some mycoses are endemic. They develop through hematogenous spread, causing a generalized infection, usually with secondary mucosal involvement. The aim of this observational and retrospective study was to report the prevalence and characteristics of oral lesions in patients diagnosed with systemic fungal infections (SFI) over a 25-year period in southern Brazil. Demographic (age, sex, ethnicity, occupation) and clinical (anatomical location, symptoms, histopathological diagnosis and management) data from the medical records of patients with SFI were collected from 1995 to 2019. 34 cases of SFI were found, of which 31 (91.18%) were diagnosed as paracoccidioidomycosis (PCM) and 3 (8.82%) as histoplasmosis. Men were much more affected (n = 31; 91.18%), with an average age of 46.9 years. Most patients (n = 18; 58.06%) were Caucasian; 48% (n = 15) were farm/rural workers and the most affected region was the jugal mucosa (n = 13; 25.49%) followed by the alveolar ridge (n = 12; 23.52%). All patients with histoplasmosis were immunocompetent men (mean age: 52.67 years), and the palate was the most affected. All patients underwent incisional biopsy and were referred to an infectologist. The dentist has an essential role in the recognition of SFI, whose oral manifestations may be the first sign. SFI should be included in differential diagnosis in patients from endemic areas. In addition, the inevitable human mobility and globalization make knowledge of these mycoses necessary worldwide, especially since advanced cases in immunocompromised patients can be fatal. 2021 artículo científico 1679-9291 https://www.redalyc.org/articulo.oa?id=307269997021 https://www.redalyc.org/journal/3072/307269997021/ https://www.redalyc.org/journal/3072/307269997021/html/ https://www.redalyc.org/journal/3072/307269997021/307269997021.epub https://www.redalyc.org/journal/3072/307269997021/movil https://doi.org/10.4025/actascihealthsci.v44i1.58157 es http://www.redalyc.org/revista.oa?id=3072 Acta Scientiarum. Health Sciences application/pdf Universidade Estadual de Maringá Acta Scientiarum. Health Sciences (Brasil) Vol.43 |
| format | Artículo científico |
| id | redalyc_307269997021 |
| institution | Redalyc |
| language | es |
| publishDate | 2021 |
| publisher | Universidade Estadual de Maringá |
| spellingShingle | Oral manifestations of systemic fungal infections: 25-year experience in an endemic region Flávia Akemi Nakayama Henschel Medicina mycoses histoplasmosis Oral manifestations retrospective studies paracoccidioidomycosis Oral manifestations of systemic fungal infections: 25-year experience in an endemic region Flávia Akemi Nakayama Henschel Camila Camarini Mariliani Chicarelli da Silva Lilian Cristina Vessoni Iwaki Neli Peiralise Elen de Souza Tolentino Medicina mycoses histoplasmosis Oral manifestations retrospective studies paracoccidioidomycosis Some mycoses are endemic. They develop through hematogenous spread, causing a generalized infection, usually with secondary mucosal involvement. The aim of this observational and retrospective study was to report the prevalence and characteristics of oral lesions in patients diagnosed with systemic fungal infections (SFI) over a 25-year period in southern Brazil. Demographic (age, sex, ethnicity, occupation) and clinical (anatomical location, symptoms, histopathological diagnosis and management) data from the medical records of patients with SFI were collected from 1995 to 2019. 34 cases of SFI were found, of which 31 (91.18%) were diagnosed as paracoccidioidomycosis (PCM) and 3 (8.82%) as histoplasmosis. Men were much more affected (n = 31; 91.18%), with an average age of 46.9 years. Most patients (n = 18; 58.06%) were Caucasian; 48% (n = 15) were farm/rural workers and the most affected region was the jugal mucosa (n = 13; 25.49%) followed by the alveolar ridge (n = 12; 23.52%). All patients with histoplasmosis were immunocompetent men (mean age: 52.67 years), and the palate was the most affected. All patients underwent incisional biopsy and were referred to an infectologist. The dentist has an essential role in the recognition of SFI, whose oral manifestations may be the first sign. SFI should be included in differential diagnosis in patients from endemic areas. In addition, the inevitable human mobility and globalization make knowledge of these mycoses necessary worldwide, especially since advanced cases in immunocompromised patients can be fatal. 2021 artículo científico 1679-9291 https://www.redalyc.org/articulo.oa?id=307269997021 https://www.redalyc.org/journal/3072/307269997021/ https://www.redalyc.org/journal/3072/307269997021/html/ https://www.redalyc.org/journal/3072/307269997021/307269997021.epub https://www.redalyc.org/journal/3072/307269997021/movil https://doi.org/10.4025/actascihealthsci.v44i1.58157 es http://www.redalyc.org/revista.oa?id=3072 Acta Scientiarum. Health Sciences application/pdf Universidade Estadual de Maringá Acta Scientiarum. Health Sciences (Brasil) Vol.43 |
| title | Oral manifestations of systemic fungal infections: 25-year experience in an endemic region |
| topic | Medicina mycoses histoplasmosis Oral manifestations retrospective studies paracoccidioidomycosis |
| url | https://www.redalyc.org/articulo.oa?id=307269997021 https://www.redalyc.org/journal/3072/307269997021/ https://www.redalyc.org/journal/3072/307269997021/html/ https://www.redalyc.org/journal/3072/307269997021/307269997021.epub https://www.redalyc.org/journal/3072/307269997021/movil https://doi.org/10.4025/actascihealthsci.v44i1.58157 |