Aspergillosis of the maxillary sinus. Review of the literature and report of a case.
Aspergillosis of the paranasal sinuses is an infrequently reported disease which can occur in two forms: (1) a noninvasive form that can clinically mimic nonspecific chronic sinusitis and (2) an invasive form that can simulate malignant disease of the sinuses. The disease occurs without known predisposing systemic disease. Primary treatment consists of surgical eradication of infected tissue. The question of whether concomitant antifungal chemotherapy should be used in the noninvasive form of aspergillosis has not been definitely resolved. Presented is a review of the literature, the report of a case, and a discussion of possible pathogenic mechanisms.
D000328:Adult; D001228:Aspergillosis / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000473:pathology*; D010254:Paranasal Sinus Diseases / Q000150:complications / Q000473:pathology; D012852:Sinusitis / Q000209:etiology