CYTOPATHOLOGICAL DIAGNOSIS IN THE INTENSIVE CARE UNIT: CANDIDIASIS AND HERPES SIMPLEX VIRUS

• Published in: Oral surgery, oral medicine, oral pathology and oral radiology oral medicine, oral pathology and oral radiology, 2020-09, Vol.130 (3), p.e235-e235
• Main Authors: ALMEIDA, LILIAN MACHADO DE SOUSA, CUNHA, KARIN SOARES GONçALVES, COSTA, KATRYNE DA, ACCETTA, ANDRE, ACCETTA, RENATO, PORTELINHA, DESIREE, MILAGRES, ADRIANNA
• Format: Article
• Language: English
• ISSN: 2212-4403; 2212-4411
• DOI: 10.1016/j.oooo.2020.04.592

Patients admitted to intensive care units are in a serious condition, immunocompromised and more susceptible to opportunistic and secondary infections. Oral hygiene is harmful and the oral microbiota is modified, facilitating the development of infections. A 43-year-old female patient was admitted to the intensive care unit with chronic renal failure on treatment for multidrug-resistant tuberculosis. Oral examination revealed a white lesion with plaque appearance on the back and lateral border of the tongue and on the lip and on the labial mucosa. Several ulcerated and crusted areas were observed, and the clinical diagnosis was of traumatic ulcers. Lesions were scraped and the cytopathological diagnosis was of candidiasis for white lesions observed in the tongue and herpes simplex virus infection for ulcerated lesions on the labial mucosa. Antifungal and antiviral medication were administered, resulting in regression of the lesions.