Facial candidiasis after maxillofacial trauma: A rare encounter

Facial oedema after maxillofacial trauma is a common occurrence, but those that soon resolve only to appear again do invoke interest! A rare case is presented of a recurring facial swelling occurring after a maxillofacial injury that did not resolve subsequent to medication and repeated aspirations. Cytospin preparations of the aspirate stained with Giemsa revealed candidiasis. The patient's symptoms resolved soon with antifungal medications and he has been asymptomatic since. Such a scenario has never been reported in the literature and can pose a diagnostic dilemma. It gives insight into the unusual clinical presentation of facial candidiasis, the importance of thorough debridement of soft tissue wounds at primary care centres and the need to consider mycoses as a differential diagnosis for nonresolving soft tissue facial swellings after maxillofacial trauma.