[Sinus aspergillosis after an endodontic treatment. Presentation of a clinical case].
Aspergillosis is an opportunistic deep mycosis that occurs in immunocompromised patients, often in the paranasal sinuses. However, it sometimes occurs in healthy subjects, producing symptoms similar to those of a chronic sinusitis that is unresponsive to conventional treatment. A possible entry point for Aspergillus is the oroantral communication originated by perforation of the dental root cavity during root canal of a molar with penetration of material. We report the clinical case of a patient with symptoms of chronic sinusitis who was diagnosed as sinus aspergillosis after radiological and histological study. The origin may have been a third upper molar in which a root canal was performed.
Departamento de Estomatología, Facultad de Medicina y Odontología, Hospital General Universitario, Valencia.
A
A
Milián Masanet
J V
JV
Bagán Sebastián
J
J
Riera Grimalt
E
E
Lloria de Miguel
Y
Y
Jiménez Soriano
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003131:Combined Modality Therapy; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D008964:Molar, Third / Q000601:surgery*; D009894:Opportunistic Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D012390:Root Canal Therapy / Q000009:adverse effects*; D014081:Tooth Extraction
D000935:Antifungal Agents; D015725:Fluconazole