Invasive fungal infection of the maxilla following dental extractions in a patient with chronic obstructive pulmonary disease.
We report on a 74-year-old male patient with chronic obstructive pulmonary disease (COPD) who developed an invasive fungal disease of the facial bones after several teeth were extracted. He had recently suffered an exacerbation of COPD, treated with a course of corticosteroid therapy. Mucormycosis is an opportunistic fungal pathogen that has the ability to cause significant morbidity and frequently mortality in the susceptible patient. An overview of this class of pathogens and the history, examination findings (clinical and radiographic), pathogenesis and medical-surgical treatment of mucormycosis is presented.
University of Florida College of Dentistry, Gainesville, Florida, USA.
Christopher
C
Fogarty
Frederick
F
Regennitter
Christopher F
CF
Viozzi
D058186:Acute Kidney Injury / Q000139:chemically induced; D000368:Aged; D000666:Amphotericin B / Q000009:adverse effects; D000935:Antifungal Agents / Q000009:adverse effects; D017742:Dental Care for Chronically Ill; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008439:Maxillary Diseases / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D009091:Mucormycosis / Q000150:complications* / Q000188:drug therapy; D010019:Osteomyelitis / Q000209:etiology*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology*; D014081:Tooth Extraction / Q000009:adverse effects*
D000935:Antifungal Agents; D000666:Amphotericin B