title: A facial swelling with multiple discharging sinuses: a diagnostic conundrum.
abstract: BACKGROUND
  Many disease processes can present with facial swelling and multiple discharging sinuses. A differential diagnosis would include actinomycosis, tuberculosis and osteomyelitis, but tinea barbae is a relatively uncommon presentation.
  
  
  METHODS
  The following case report describes a 48-year-old jockey who was diagnosed with tinea barbae. It chronicles the investigations that were performed to determine the offending pathogen and the difficulty in achieving a diagnosis.
  
  
  CONCLUSIONS
  The investigations and the pathophysiology of dermatophytic infections and their management in a maxillofacial/oral medicine environment are discussed.
authors.affiliation: Western Sussex NHS Trust, Chichester, West Sussex, UK. joehenno@hotmail.com
authors.forename: Joe
authors.initials: J
authors.lastname: Hennessy
authors.forename: Atul
authors.initials: A
authors.lastname: Kusanale
authors.forename: Clive
authors.initials: C
authors.lastname: Pratt
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000382:microbiology; D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis*; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014005:Tinea / Q000175:diagnosis*; D014249:Trichophyton / Q000302:isolation & purification
chemical_list: D000935:Antifungal Agents