Aureobasidium infection of the jaw

J Oral Pathol Med. 1991 Apr;20(4):191-5. doi: 10.1111/j.1600-0714.1991.tb00920.x.

Abstract

A 32-yr-old white North American male resident of Norway presented with an asymptomatic radiolucency first identified 3 yr after the removal of an impacted mandibular right third molar in Southern California 16 yr previously. Surgical exploration revealed an intraosseous cavity filled with a black, homogeneous, gelatinous substance thought to be foreign material, but which was diagnosed histologically as containing black yeasts. Cultivation of a microbiologic sample for 6 wk grew black yeast-like colonies. The yeast isolate was identified as an Aureobasidium species different from the typical A. pullulans. A blood sample was negative with regard to antibodies both with double diffusion technique and ELISA. Also, examination with respect to dermatologic manifestations gave negative results. Flucytocin 10 g/d was administered systemically for 30 d. Six months postoperatively bone regeneration was satisfactory radiologically.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Flucytosine / therapeutic use
  • Humans
  • Male
  • Mandibular Diseases / diagnostic imaging
  • Mandibular Diseases / drug therapy
  • Mandibular Diseases / microbiology*
  • Mitosporic Fungi / isolation & purification*
  • Molar, Third
  • Mycoses* / drug therapy
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology
  • Radiography
  • Tooth Extraction
  • Yeasts / isolation & purification*

Substances

  • Flucytosine