Oral histoplasmosis masquerading as acute necrotizing ulcerative gingivitis: A rare case report

Authors

  • Shaleen Khetarpal Department of Periodontology, Government College of Dentistry, Indore Madhya Pradesh (M.P.), India- 452001
  • Trishna Mhapsekar Senior Lecturer, Department of Periodontology, College of dental science and hospital,Rau. Indore
  • Rahul Nagar Department of Skin, VD & Leprosy, Maharaja Yashwantrao Hospital, Indore, Madhya Pradesh, India-452001
  • Ajay Parihar Department of Oral Medicine, Diagnosis & Radiology, Government College of Dentistry, Indore, Madhya Pradesh (M.P.), India- 452001.

Keywords:

Oral histoplasmosis, Darling’s disease, immunocompetent, acute necrotizing ulcerative gingivitis

Abstract

Histoplasmosis also called as “Darling’s Disease” is a community-acquired primary pulmonary disease caused by inhalation of dust containing spores of soil-dwelling dimorphic fungi, Histoplasma capsulatum. Presentation of fungi in the oral cavity is usually rare and is generally associated with an immunocompromised state. Here, we present a rare case of histoplasmosis in an immunocompetent patient, with discrete oral presentation, that initially mimicked acute necrotizing ulcerative gingivitis. Gingival biopsy confirmed the diagnosis of histoplasmosis, which responded favorably to the initial treatment with intravenous amphotericin and later to oral itraconazole. Thus, a vigilant approach is paramount in reducing the fatality due to disease.

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Published

2019-08-20

How to Cite

Khetarpal, S., Mhapsekar, T., Nagar, R., & Parihar, A. (2019). Oral histoplasmosis masquerading as acute necrotizing ulcerative gingivitis: A rare case report. International Journal of Health Sciences, 13(5). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/3637

Issue

Vol. 13 No. 5 (2019): Sept.-Oct

Section

Case report/case series

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