Srivastava Ankita, Mohpatra Mounabati, Mahapatra Ashoka
Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Ann Maxillofac Surg. 2019 Jan-Jun;9(1):168-173. doi: 10.4103/ams.ams_218_18.
Fungal osteomyelitis is a life-threatening and seldom seen opportunistic infection. It is commonly an affectation of the nose and paranasal sinuses within the orofacial region. It is an aggressive infection that needs to be addressed promptly to prevent fatal consequences. Here, we present a case of a 62-year-old female who presented with complaints of pain and pus discharge from the extraction socket of the left maxillary 23, 24, 25, 26 teeth. She had a history of uncontrolled diabetes mellitus. On further investigation, using diagnostic and Interventional aids, a final diagnosis of maxillary fungal osteomyelitis was made. The infective fungal agents were a mixture of and species. A review of all literatures on the subject in the past 13 years using different search engines showed that craniofacial fungal infections with primary maxillary involvement are a rare phenomenon. The primary aim of reporting this case, therefore, is to highlight its rarity, presentation, management and most importantly the outcome of management.
真菌性骨髓炎是一种危及生命且罕见的机会性感染。它通常累及口面部区域的鼻腔和鼻窦。这是一种侵袭性感染，需要及时处理以防止致命后果。在此，我们报告一例62岁女性病例，该患者主诉左上颌23、24、25、26牙拔牙创疼痛并伴有脓性分泌物。她有未控制的糖尿病史。经进一步检查，使用诊断和介入辅助手段，最终诊断为上颌真菌性骨髓炎。感染性真菌为 种和 种的混合。使用不同搜索引擎对过去13年关于该主题的所有文献进行回顾发现，原发性上颌受累的颅面部真菌感染是一种罕见现象。因此，报告此病例的主要目的是强调其罕见性、临床表现、治疗方法，最重要的是治疗结果。
