title: Invasive Aspergillosis Associated with a Foreign Body.
abstract: Invasive aspergillosis is a serious complication in immunocompromised individuals. It is associated with a high mortality rate, which demands a combined approach involving radical surgery and antifungal therapy. Here, we describe a patient who presented with nonspecific fever, refractory to antimicrobial agents. Though it primarily involved the nasal cavity and sinuses, it perforated into the oral cavity causing palatal changes. Surprisingly, a foreign body was found in the involved tissues that might have acted as a nidus of infection. A sufficient dose (3 mg/kg/day) of liposomal amphotericin B was initiated soon after a thorough debridement procedure and the patient survived.
authors.affiliation: Princess DurruShehvar Children's and General Hospital, Purani Haveli, Hyderabad, Telangana 500002, India.
authors.forename: Akifuddin
authors.initials: A
authors.lastname: Syed
authors.affiliation: Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Medak District, Telangana 502294, India.
authors.forename: Prashanth
authors.initials: P
authors.lastname: Panta
authors.affiliation: Department of Oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Medak District, Telangana 502294, India.
authors.forename: Imran
authors.initials: I
authors.lastname: Shahid
authors.affiliation: NHS Education for Scotland, Westport 102, WestPort, Edinburgh EH3 9DN, UK.
authors.forename: David H
authors.initials: DH
authors.lastname: Felix