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NILIMA T.S.
NORTH AMERICAN
BLASTOMYCOSIS
 Caused by Blastomyces dermatiditis.

CLINICAL FEATURES
-Tiny miliary abscess or pustules.
-crateriform lesions.
-Fever.
-weight loss.
-productive cough.
NORTH AMERICAN
BLASTOMYCOSIS
NORTH AMERICAN
BLASTOMYCOSIS
-DOUBLY REFRACTILE
CAPSULE
ORAL MANIFESTATION
 Tiny ulcer.
 Abscess formation.

HISTOLOGIC FEATURES
 Inflamed connective tissue.
 Giant cells and macrophages.
 Round organism with doubly refractile capsule.
 Microabscess.
SOUTH AMERICAN
BLASTOMYCOSIS
 Caused by Blastomyces brasiliensis.
 Fungus varies 10um to60um in diameter and is larger

than that of north american blastomycosis.
SOUTH AMERICAN BLASTOMYCOSIS
HISTOPLASMOSIS
 Also called Darling’s disease.
 Caused by Histoplasma capsulatum.

CLINICAL FEATURES
 Low grade fever.
 Splenomegaly.
 Hepatomegaly.
 Lymphadenopathy.
HISTOPLASMOSIS
ORAL MANIFESTATION
 Nodular,ulcerative or vegetative lesions.
 Ulcerated areas covered by nonspecific gray

membrane.
 Common on buccal mucosa,gingiva,tongue,palate or
lips.
HISTOLOGIC FEATURES
 Organism appear as tiny intracellular structures

measuring a little more than 1um in diameter.

TREATMENT:
 Amphotericin B
HISTOPLASMOSIS
CANDIDIASIS
 Caused by Candida albicans .

CLASSIFICATION:
Primary Candidiasis:
Acute forms
-Psuedomembranous
-Erythematous
 Chronic forms

-Hyperplstic
Nodular
Plaque-like
-Erythematous
-Psuedomembranous
 Candida associated lesions
-Denture stomatitis
-Angular cheilitis
-Mediam rhomboid glossitis
 Keratinized primary lesions super infected with
Candida
-Leukoplakia
-Lichen planus
-Lupus erythematosus
SECONDARY ORAL CANDIDIASIS
ATROPHIC CANDIDIASIS
ERYTHEMATOUS CANDIDIASIS
HYPERPLASTIC CANDIDIASIS
TREATMENT
 Nystatin
 Clotrimazole
 Amphotericin B
 Miconazole
PHYCOMYCOSIS
 Also called as Mucormycosis,Zygomycosis.
 Caused by Mucorales and Entomophthorales.

CLINICAL FEATURES
 2 main types-Superficial
-Visceral
 Visceral-Pulmonary
-Gastrointestinal
-Rhinocerebral
ZYGOMYCOSIS
HISTOLOGIC FEATURES
 Organisms appear large,nonseptate hyphae with

branching at obtuse angles.
 Round or ovoid sporangia.

TREATMENT
 Control of predisposing factors.
 Surgical excision
 Amphotericin B
ZYGOMYCOSIS
RHINOSPORIDIOSIS
 Caused by Rhinosporidium seeberi.

CLINICAL FEATURES
 Mucoid discharge.
 Soft polypoid growth spreading to pharynx and larynx.
 Lesions are vascular.
HISTOLOGIC FEATURES
 Sporangia containing large number of round or ovoid

endospores,each 5-7um in diameter.
 Focal abscess formation and multinucleated giant
cells.

TREATMENT
 Surgical removal.
COCCIDIODOMYCOSIS
 Caused by Coccidiodes immitis.

CLINICAL FEATURES
 2 forms-Primary nondisseminated and Progressive
disseminated.
ORAL MANIFESTATION
 Proliferative granulomatous and ulcerated lesions.
 Lytic lesions of jaw.

HISTOLOGIC FEATURES
 Foci of coagulation necrosis.
 Endospores within large spherules.

TREATMENT
 Amphotericin B
CRYPTOCOCCOSIS
 Also called as Tolurosis ,European blastomycosis.
 Caused by cryptococcus neoformans.

CLINICAL FEATURES
 Multiple brown papules.
 Occurs in patients with malignant lymphoma.
ORAL MANIFESTATIONS
 Non specific single or multiple ulcers.

HISTOLOGIC FEATURES
 Gram positive, budding,yeast-like cell with thick

gelatinous capsule.
 Measures 5-20um with a clear halo.

TREATMENT
 Amphotericin B
Mycotic infections

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