title: Noninvasive aspergillosis as a maxillary antrolith: report of a rare case.
abstract: Maxillary antrolithiasis is characterized by masses of tissue of endogenous or exogenous origin that calcify within the maxillary sinuses. Aspergillosis is a fungal disease in which the maxillary sinus is a primary site of infection. Aspergillosis mycetoma, its noninvasive form, is the most prevalent modality of the disease in the maxillary sinuses. In approximately half of the cases reported in the literature, calcification of the fungal mycelia, which later became antroliths, was verified. This article reports a rare case of the accidental discovery of a maxillary antrolith associated with noninvasive aspergillosis in an immunocompetent and asymptomatic 56-year-old woman. The diagnosis and therapeutic procedures used in treating the patient are discussed as well as the probable iatrogenic origin of the fungal pathology.
authors.affiliation: Department of Diagnosis and Surgery, UNESP-Paulista State University, São José dos Campos-São Paulo, Brazil. joaocesarhenriques@yahoo.com.br
authors.forename: João César Guimarães
authors.initials: JC
authors.lastname: Henriques
authors.forename: Eliane Maria
authors.initials: EM
authors.lastname: Kreich
authors.forename: Rafaela Rangel
authors.initials: RR
authors.lastname: Rosa
authors.forename: Julio Cezar de Melo
authors.initials: JC
authors.lastname: Castilho
authors.forename: Luiz Cesar
authors.initials: LC
authors.lastname: de Moraes
authors.forename: Mari Eli Leonelli
authors.initials: ME
authors.lastname: de Moraes
mesh_terms: D001228:Aspergillosis / Q000000981:diagnostic imaging*; D058070:Asymptomatic Diseases; D003937:Diagnosis, Differential; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging; D006801:Humans; D033162:Incidental Findings; D020347:Lithiasis / Q000000981:diagnostic imaging / Q000382:microbiology*; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging; D008443:Maxillary Sinus / Q000000981:diagnostic imaging / Q000382:microbiology*; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis; D009810:Odontoma / Q000000981:diagnostic imaging; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D011862:Radiography, Panoramic; D014057:Tomography, X-Ray Computed; D014092:Tooth Root / Q000000981:diagnostic imaging