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Ann Maxillofac Surg. 2019 Jan-Jun;9(1):168-173. doi: 10.4103/ams.ams_218_18.

Maxillary Fungal Osteomyelitis: A Review of Literature and Report of a Rare Case.

Author information

1
Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
2
Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Abstract

Fungal osteomyelitis is a life-threatening and seldom seen opportunistic infection. It is commonly an affectation of the nose and paranasal sinuses within the orofacial region. It is an aggressive infection that needs to be addressed promptly to prevent fatal consequences. Here, we present a case of a 62-year-old female who presented with complaints of pain and pus discharge from the extraction socket of the left maxillary 23, 24, 25, 26 teeth. She had a history of uncontrolled diabetes mellitus. On further investigation, using diagnostic and Interventional aids, a final diagnosis of maxillary fungal osteomyelitis was made. The infective fungal agents were a mixture of Mucorales and Aspergillus species. A review of all literatures on the subject in the past 13 years using different search engines showed that craniofacial fungal infections with primary maxillary involvement are a rare phenomenon. The primary aim of reporting this case, therefore, is to highlight its rarity, presentation, management and most importantly the outcome of management.

KEYWORDS:

Aspergillosis; concomitant infection; fungal osteomyelitis; mucormycosis; opportunistic infection

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