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A unique case of aspergillosis involving the maxillary antrum

Author: 
Dr. Somdutta Mitra, Prof. (Dr). Sanchita Kundu, Dr. Rudra Prasad Chatterjee, Dr. Swagata Gayen and Dr. Santosh, T.
Subject Area: 
Health Sciences
Abstract: 

Fungal infections are common globally with varied clinical presentations. Among them, Aspergillosis is the second most common opportunistic fungal disease and is difficult to diagnose. Immuunocompromised patients are mostly affected by invasive aspergillosis. Spores of the aspergilli are inhaled or ingested which if left untreated will disseminate in the lungs, paranasal sinuses, cranium and orbit, leading to cough, dyspnoea, ulceration, loss of vision, fever, meningitis etc. Early diagnosis and prompt treatment is therefore necessary for improvement of the survival rate. We present a case of invasive aspergillosis involving the maxillary sinus in an uncontrolled diabetic patient with the emphasis on early diagnosis, as delay in the initiation of treatment could be detrimental due to the dissemination of the disease process.

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