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Published on: June 15, 2019

Illosis of maxillary sinus in immunocompromised patient. Case report

Kaan Orhan1, Doruk Kocyigit, Kivanc Turkoglu

  • 1Department of Dentomaxillofacial Radiology, Ankara University, Ankara, Turkey.

The New York State Dental Journal
|April 6, 2012
PubMed

Insights

Aspergillosis, a fungal infection, can affect the maxillary sinus, especially in immunocompromised individuals. This case highlights a root fragment from a prior tooth extraction as a potential cause.

Area of Science:

  • Medical Mycology
  • Otolaryngology

Background:

  • Aspergillosis is a fungal infection, historically rare in sinuses.
  • Recent reports show increased invasive and non-invasive maxillary sinus aspergillosis.
  • Potential causes include endodontic materials, foreign bodies, and antroliths.

Observation:

  • Presents a case of maxillary sinus aspergillosis in an immunocompromised patient.
  • The infection was linked to a retained root fragment from an earlier tooth extraction.
  • This contrasts with previously reported causes like gutta-percha or antroliths.

Findings:

  • Confirms maxillary sinus aspergillosis can be associated with dental remnants.
  • Demonstrates a rare etiology for fungal sinusitis in immunocompromised hosts.
  • Highlights the importance of considering overlooked dental issues.

Implications:

  • Suggests thorough dental history and examination are crucial in diagnosing sinus aspergillosis.
  • Underscores the need for vigilance regarding foreign bodies in immunocompromised patients.
  • Informs differential diagnosis for fungal sinusitis, expanding beyond common triggers.

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