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Invasive histoplasmosis of the mandible

✍ Scribed by Thomas J. Dobleman; Natan Scher; Dr. Michael Goldman; Shane Doot

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 360 KB
Volume: 11
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880110114

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✦ Synopsis

We present a case of an 82-year-old man with a 1-year history of a slowly enlarging, nontender, exophytic oral mucosal lesion with focal ulceration of the right alveolar ridge of the mandible associated with cortical bone resorption. Two consecutive biopsies revealed histoplasma capsulatum. A review of the literature confirms that this is an uncommon manifestation of this fungal disease, but must be considered in the differential diagnosis of an oral ulcerative lesion. HEAD & NECK 11:81-84, 1989

Histoplasmosis of the oral cavity is uncommon, but must be considered in the differential diagnosis of an ulcerative lesion of the oral cavity and may mimic carcinoma or other local or systemic diseases.' Misdiagnosis may lead to unnecessary surgery and inadequate treatment. A diagnostic biopsy is mandatory. We present a case of histoplasma capsulatum of the alveolar ridge in an 82-year-old man.

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