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Histoplasmosis presenting as hyperplastic gingival lesion.

F C Loh1, J F Yeo, W C Tan

  • 1Department of Oral and Maxillofacial Surgery, National University Hospital, Singapore.

Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
|October 1, 1989
PubMed
Summary
This summary is machine-generated.

A rare case of oral histoplasmosis mimicked cancer due to gingival lesions. Prompt diagnosis via histology and culture, followed by ketoconazole treatment, led to successful patient recovery.

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Area of Science:

  • Oral pathology
  • Infectious diseases
  • Mycology

Background:

  • Histoplasmosis is a fungal infection typically affecting the lungs.
  • Oral manifestations are uncommon, especially without systemic symptoms.
  • Gingival lesions can be mistaken for malignancies.

Observation:

  • A patient presented with ulcerated and hyperplastic gingiva.
  • No other systemic signs or symptoms of histoplasmosis were present.
  • The gingival presentation mimicked a cancerous lesion.

Findings:

  • Histological examination revealed granulomatous inflammation.
  • Tissue culture identified Histoplasma capsulatum.
  • The patient was diagnosed with localized oral histoplasmosis.

Implications:

  • This case highlights the importance of considering fungal infections in oral lesions.
  • Accurate diagnosis requires a combination of clinical suspicion, histology, and culture.
  • Early and correct diagnosis is crucial for effective treatment and patient outcomes.