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[根管治疗后鼻窦曲霉菌病。1例临床病例报告]

[Sinus aspergillosis after an endodontic treatment. Presentation of a clinical case].

作者信息

Milián Masanet A, Bagán Sebastián J V, Riera Grimalt J, Lloria de Miguel E, Jiménez Soriano Y

机构信息

Departamento de Estomatología, Facultad de Medicina y Odontología, Hospital General Universitario, Valencia.

出版信息

Acta Otorrinolaringol Esp. 1998 Jun-Jul;49(5):408-10.

PMID:9717333
Abstract

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.

摘要

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。

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