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Critical Reviews in Oral Biology & Medicine
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PARACOCCIDIOIDOMYCOSIS OF THE MOUTH: AN EMERGING DEEP MYCOSIS

Oslei Paes Almeida* and Jacks Jorge Junior

Department of Oral Pathology, Dental School of Piracicaba-UNICAMP, Av. Limeira 901, CEP 13.414.903-CP 52, Piracicaba, SP, Brazil;

Crispian Scully

Eastman Dental Institute for Oral Health Care Sciences, University College London, UK


Figure 1
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  		Figure 1. Paracoccidioidomycosis involving the tongue in a 55-year-old woman.

 

Figure 2
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  		Figure 2. Paracoccidioidomycosis on the palatal and buccal gingivae. The "moriforme" aspect with pinpoint hemorrhages is typical of this disease. This patient also had skin lesions.

 

Figure 3
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  		Figure 3. Fresh preparation of Paracoccidioides brasiliensis in 10% potassium hydroxide, showing the refractile wall and the formation of new fungi.

 

Figure 4
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  		Figure 4. Microscopic view of P. brasiliensis phagocytosed by a multinucleated giant cell. The fungi are easily seen by H&E staining.

 

Figure 5
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  		Figure 5. Gomori-Grocott silver impregnation showing the typical pilot-wheel aspect, characteristic of P. brasiliensis.

 

Figure 6
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  		Figure 6. Electron micrograph of P. brasiliensis inside a multinucleated giant cell.

 

Critical Reviews in Oral Biology & Medicine, Vol. 14, No. 4, 268-274 (2003)
DOI: 10.1177/154411130301400404
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