Primary Oral Histoplasmosis in Immunocompetent Host: Case Series with Review of Literature

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5639-5644. doi: 10.1007/s12070-021-02974-2. Epub 2021 Nov 12.

Abstract

Histoplasmosis, a systemic mycosis caused by Histoplasma capsulatum manifests clinically in immunocompromised subjects as acute or chronic pulmonary infection or as a progressive disseminated disease. In oral region it clinically presents as multiple, granular and painful ulcers or verrucous growth. It is rare to find primary oral lesion of histoplasmosis in immunocompetent patient free from systemic disease. In presence of any unusual oral lesion possibility of Histoplasmosis should be considered and prompt diagnosis be attained with exclusion of false negative results as non-specific manifestation of disease may lead to gruesome misdiagnosis of lesion and inadequate treatment. In the present paper two cases of oral histoplasmosis in immunocompetent host have been discussed along with updated review of literature.

Keywords: Immunocompetent host; India; Oral histoplasmosis; Primary lesion.