Milián Masanet A, Bagán Sebastián J V, Riera Grimalt J, Lloria de Miguel E, Jiménez Soriano Y
Departamento de Estomatología, Facultad de Medicina y Odontología, Hospital General Universitario, Valencia.
Acta Otorrinolaringol Esp. 1998 Jun-Jul;49(5):408-10.
Aspergillosis is an opportunistic deep mycosis that occurs in immunocompromised patients, often in the paranasal sinuses. However, it sometimes occurs in healthy subjects, producing symptoms similar to those of a chronic sinusitis that is unresponsive to conventional treatment. A possible entry point for Aspergillus is the oroantral communication originated by perforation of the dental root cavity during root canal of a molar with penetration of material. We report the clinical case of a patient with symptoms of chronic sinusitis who was diagnosed as sinus aspergillosis after radiological and histological study. The origin may have been a third upper molar in which a root canal was performed.
曲霉病是一种机会性深部真菌病，发生于免疫功能低下的患者，常累及鼻窦。然而，它有时也会发生在健康个体中，产生类似于对传统治疗无反应的慢性鼻窦炎的症状。曲霉的一个可能侵入途径是在磨牙根管治疗过程中，牙根腔穿孔并伴有材料穿透而形成的口腔鼻窦通道。我们报告了一例有慢性鼻窦炎症状的患者，经影像学和组织学检查后被诊断为鼻窦曲霉病。其病因可能是一颗进行过根管治疗的上颌第三磨牙。
