title: [Pseudo-tumoral Aspergillus rhinosinusitis of dental origin].
abstract: BACKGROUND
  Sinonasal aspergillosis is caused by the interaction between the sinonasal mucosa with a cosmopolite fungus (Aspergillus), it is on the increase, this is an infection whose evolution is unpredictable requiring early diagnosis and appropriate support. We report a case of Aspergillus rhinosinusitis of dental origin in pseudo-tumoral form with a review of the literature.
  
  
  METHODS
  A 31 years-old, women, consulted for a right nasal obstruction with purulent rhinorrhea after dental treatment. On examination, there was a bulge of the inner canthus of the right eye and a mass in the right nasal cavity. The CT scanner showed a process of the left naso-sinus cavity centered by calcic image density. The patient underwent a total excision of the mass endoscopically. Mycological and pathological examination concluded that the etiology was Aspergillus fumigatus. The patient had not received any antifungal treatment. The postoperative course was uneventful. The evolution was favourable with no recurrence after 9 months.
  
  
  CONCLUSIONS
  Aspergillus rhinosinusitis of dental origin is usually due to the emergence of canalicular filling paste into the maxillary sinus through and oral cavity and sinus fistula, neglected it can progress to invasive pseudo-tumoral form. The clinical presentation is nonspecific and the diagnosis often involves imaging (scanner). Mycological and histological examinations are essential for diagnosis. The treatment is based on surgery sometimes associated with antifungal treatment.
authors.affiliation: Service de parasitologie-mycologie, CeDoc, faculté de médecine et de pharmacie Mohammed V, hôpital militaire Mohammed V, Rabat, Maroc. Electronic address: nahalamia@yahoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Naha
authors.affiliation: Service de parasitologie-mycologie, CeDoc, faculté de médecine et de pharmacie Mohammed V, hôpital militaire Mohammed V, Rabat, Maroc.
authors.forename: K
authors.initials: K
authors.lastname: Nadour
authors.affiliation: Service d'ORL et CCF, hôpital militaire Mohammed V, Rabat, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Hemmaoui
authors.affiliation: Service d'ORL et CCF, hôpital militaire Mohammed V, Rabat, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Errami
authors.affiliation: Service de radiologie, 5(e) hôpital militaire de Guelmim, Guelmim, Maroc.
authors.forename: I
authors.initials: I
authors.lastname: En-Nafaa
authors.affiliation: Service d'ORL et CCF, hôpital militaire Mohammed V, Rabat, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Bouaity
authors.affiliation: Service de parasitologie-mycologie, CeDoc, faculté de médecine et de pharmacie Mohammed V, hôpital militaire Mohammed V, Rabat, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Lmimouni
mesh_terms: D000038:Abscess / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D001232:Aspergillus fumigatus / Q000302:isolation & purification; D003751:Dental Fistula / Q000150:complications / Q000382:microbiology*; D005260:Female; D006801:Humans; D008439:Maxillary Diseases / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D015508:Nasal Obstruction / Q000382:microbiology; D009298:Nasal Polyps / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D012220:Rhinitis / Q000150:complications / Q000382:microbiology*; D012852:Sinusitis / Q000150:complications / Q000382:microbiology*
keywords: Aspergillus; Chirurgie endoscopique; Endoscopic surgery; Mycologie; Mycology; Rhinosinusite; Rhinosinusitis