Aspergillosis-induced osteomyelitis involving the maxillary sinus with multiple extraoral sinus - A rare case report

Area of Science:

• Mycology
• Infectious Diseases
• Otolaryngology

Background:

• Aspergillosis is a deep fungal infection caused by Aspergillus fumigatus.
• Inhalation of fungal spores is the primary route of infection, often seen in individuals with compromised immune systems.
• Farmers are at higher risk due to frequent exposure to Aspergillus spores in environments like moist hay.

Observation:

• A 50-year-old male farmer presented with periorbital swelling and multiple sinuses near the lower left eyelid.
• The patient had a non-healing socket following a dental extraction.
• Symptoms indicated a potential deep-seated fungal infection.

Findings:

• The patient was diagnosed with Aspergillosis.
• Treatment involved coblation turbinoplasty under general anesthesia.
• Endoscopic sinus surgery was performed to address the infection.

Implications:

• This case underscores the importance of considering Aspergillosis in immunocompromised patients with persistent facial or sinus symptoms.
• Early diagnosis and appropriate surgical intervention are crucial for managing invasive fungal infections.
• Endoscopic sinus surgery can be an effective treatment modality for localized Aspergillosis.