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Deep mycoses and palatal perforation with granulomatous pansinusitis in acquired immunodeficiency syndrome: case

F Lucatorto1, L R Eversole

  • 1Section of Diagnostic Sciences, University of California, Los Angeles.

Insights

Deep fungal infections can cause rare palatal perforations in patients with acquired immunodeficiency syndrome (AIDS). Treatment with a palatal obturator helped restore function and speech in two such cases.

Area of Science:

  • Mycology
  • Immunology
  • Otolaryngology

Background:

  • Deep mycotic infections are rare complications in patients with acquired immunodeficiency syndrome (AIDS).
  • Palatal perforation with granulomatous pansinusitis can occur due to these infections.

Observation:

  • Two cases presented with palatal ulceration and osseous destruction.
  • One case was caused by Histoplasma capsulatum, the other by Cryptococcus neoformans.

Findings:

  • Both patients experienced significant palatal tissue destruction.
  • Histoplasma capsulatum and Cryptococcus neoformans were identified as the causative agents.

Implications:

  • Palatal obturator use can restore function and speech in patients with mycotic-induced palatal defects.
  • Early diagnosis and management are crucial for improving quality of life in AIDS patients with rare fungal complications.

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