[Pseudo-tumoral invasive fungus infection of the maxillary sinus in Abidjan].
BACKGROUND
The invasive fungal infection of the maxillary sinus is a rare and serious disease generally favored by immunosuppression. We report an exceptional case of pseudotumoral invasive fungal infection of the maxillary sinus in an immunocompetent patient.


METHODS
A 32-year-old patient consulted for labial and left temporal swelling associated with proptosis and chemosis that has been developing for 18 months. The scanner objectified a filling of the left maxillary sinus, and the ipsilateral orbital cavity, and the surrounding muscles. Histological examination of the surgical specimen revealed invasive fungal infection of the left maxillary sinus. The relevant antifungal therapy, namely voriconazole, could not be administered due to the unavailability of the medicine. However, the patient has received 200mg of itraconazole every 12hours for three weeks. The change proved disappointing with recurrence and significant sequelae, sort of sagging of the right hemifacial, severe limitation of mouth opening and functional loss of the right eye.


CONCLUSIONS
The invasive fungus infections of the maxillary sinus and the orbit are exceptional in immunocompetent patient. Healing is based on early diagnosis and administration of the reference antifungal to face the risk of recurrence.
Service des maladies infectieuses et tropicales, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: aristotanon@yahoo.fr.
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Tanon
Service de stomatologie et chirurgie maxilllo-faciale, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: camilleass@yahoo.fr.
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Assouan
Service de stomatologie et chirurgie maxilllo-faciale, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: docteuranzouan@yahoo.fr.
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Anzouan-Kacou
Service de stomatologie et chirurgie maxilllo-faciale, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: dndia@hotmail.com.
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N'guessan
Service de stomatologie et chirurgie maxilllo-faciale, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire. Electronic address: salami_arnaud@yahoo.fr.
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Salami
Service d'ophtalmologie, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: severinboni@gmail.com.
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Boni
Service de stomatologie et chirurgie maxilllo-faciale, CHU de Treichville, BP V3, Abidjan, Côte d'Ivoire; Unité de formation et de recherche en sciences médicales, université Félix-Houphouet, Boigny de Cococdy, Abidjan, Côte d'Ivoire. Electronic address: nanokem@yahoo.fr.
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Konan
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000188:drug therapy / Q000473:pathology*; D007560:Cote d'Ivoire; D005094:Exophthalmos / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D000072742:Invasive Fungal Infections / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D008443:Maxillary Sinus / Q000382:microbiology / Q000473:pathology; D015523:Maxillary Sinusitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D016727:Orbital Pseudotumor / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology
D000935:Antifungal Agents; D017964:Itraconazole
Abidjan; Chirurgie; Immunocompétence; Infection fongique invasive; Invasive fungal infection; Maxillary sinus; No-immunosuppression; Sinus maxillaire; Surgery