Paracoccidioidomycosis in a 64-year-old man: a case report

Paracoccidioidomycosis (PCM) is a systemic mycosis caused by the thermo-dependent dimorphic fungus Paracoccidioides spp, limited to the American continent, but with a high incidence in Brazil, mainly in the Midwest, South and Southeast regions. This is a case report of a 64-year-old male patient that was referredat a hospital, complaining of pain in the mouth and dysphagia. The patient presented multiple and finely granular hemorrhagic pinpoint erosions with a mulberry-like appearance in oral mucosa. The patient underwent an incisional biopsy, and the histopathological analyses confirmed the presence of the fungus and the diagnosis of PCM. Lesions in oral mucosa may be the first visible clinical manifestation of PCM; so, a meticulous evaluation of oral cavity and well-conducted diagnostic techniques are indispensable for a correct diagnosis and an appropriate therapy of PCM.