Hard palate perforation due to invasive aspergillosis in a patient with acute lymphoblastic leukemia.
Invasive aspergillosis (IA) is a major cause of morbidity and mortality in immunosuppressed patients. Primary oral invasive aspergillosis is a rare condition. We present an acute lymphoblastic leukemia (ALL) patient with hard palate perforation due to invasive aspergillosis. Two months after the appearance of the fungal lesions, perforation of the hard palate was seen despite amphotericin-b and itracanazole therapy. After debridement of necrotic tissue the patient was followed for spontaneous closure for 6 months but it was seen that the fistula persisted despite the disappearance of the infection. The patient was operated for closure of the palatal fistula and there was no recurrence in 6 months of follow up. Surgical and medical management was performed successfully. Invasive oral aspergillosis is a potentially lethal disease and it should be considered in immunosuppressed patients with oral lesions.
Karabulut
Aylin Bilgin
AB
Istanbul Medical Faculty, Department of Plastic and Reconstructive Surgery, Istanbul, Turkey.
Kabakas
Fatih
F
Berköz
Omer
O
Karakas
Zeynep
Z
Kesim
Sinan Nur
SN
D001228:Aspergillosis / Q000150:complications* / Q000188:drug therapy; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007571:Jaw Diseases / Q000209:etiology* / Q000628:therapy; D016155:Oral Fistula / Q000209:etiology* / Q000628:therapy; D019647:Oral Surgical Procedures / Q000379:methods; D021362:Palate, Hard / Q000473:pathology / Q000601:surgery*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000188:drug therapy