Camuzard J F, Thyss A, Ayela P, Santini J
Département d'Otorhinolaryngologie, Hôpital Pasteur, Nice.
Ann Otolaryngol Chir Cervicofac. 1989;106(6):334-7.
The authors report a case of mycotic osteitis of the upper maxillary bone due to Candida Albicans occurring in a 56 year old female patient under treatment for chronic myeloid leukemia. The etiologically difficult diagnosis could only be confirmed after deep surgical biopsy with mycological study of a fragment. A review of the literature confirmed the rarity of upper maxillary involvement by Candida Albicans. Particularly when there is isolated involvement and no evidence of a distant primary focus. The differential diagnosis essentially includes centro-facial malignant granuloma.
作者报告了一例56岁女性慢性髓性白血病患者发生的由白色念珠菌引起的上颌骨霉菌性骨炎。病因诊断困难,只有在对一块组织进行深部手术活检并进行真菌学研究后才能确诊。文献回顾证实白色念珠菌累及上颌骨的情况罕见。特别是当仅有局部累及且无远处原发灶证据时。鉴别诊断主要包括中央面部恶性肉芽肿。