title: Invasive fungal rhinosinusitis with palatal erosion in an elderly edentulous patient with uncontrolled diabetes: report of a rare case.
abstract: OBJECTIVE
  To report a rare case of chronic invasive fungal rhinosinusitis with palatal erosion.
  
  
  BACKGROUND
  Restoring and maintaining oral health of diabetic elderly patients with increased risk of infections is a challenge to the dentist. Patients suffering from uncontrolled diabetes are susceptible to fungal infections. Palatal erosion due to fungal rhinosinusitis is rare.
  
  
  METHODS
  Case report of a 65 years old illiterate female patient from low socio-economic strata, suffering from uncontrolled diabetes and poor systemic health presenting with chronic invasive fungal rhinosinusitis leading to palatal erosion.
  
  
  CONCLUSIONS
  Such a case is a diagnostic challenge to a dentist. Therefore understanding the disease process and its possible outcomes is desirable. The treatment warrants a multidisciplinary approach.
authors.affiliation: Department of Prosthodontics, King George's Medical University, Lucknow, U.P, India.
authors.forename: Vinit
authors.initials: V
authors.lastname: Shah
authors.affiliation: Department of Prosthodontics, King George's Medical University, Lucknow, U.P, India.
authors.forename: Jitendra
authors.initials: J
authors.lastname: Rao
authors.affiliation: Department of Otorhinolaryngology, King George's Medical University, Lucknow, U.P., India.
authors.forename: Veerendra
authors.initials: V
authors.lastname: Verma
authors.affiliation: Department of Biochemistry, King George's Medical University, Lucknow, U.P., India.
authors.forename: Kalpana
authors.initials: K
authors.lastname: Singh
authors.affiliation: Department of Prosthodontics, King George's Medical University, Lucknow, U.P, India.
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Agarwal
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis; D001230:Aspergillus; D048909:Diabetes Complications / Q000382:microbiology*; D005260:Female; D006801:Humans; D009066:Mouth, Edentulous / Q000150:complications* / Q000382:microbiology; D010159:Palate / Q000382:microbiology* / Q000473:pathology; D012220:Rhinitis / Q000150:complications* / Q000382:microbiology; D012852:Sinusitis / Q000150:complications* / Q000382:microbiology
keywords: diabetes; edentulous; fungus; palatal erosion