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Case Reports
. 2012 Sep;16(3):460-4.
doi: 10.4103/0973-029X.102522.

Chronic invasive aspergillosis of paranasal sinuses: A case report with review of literature

Avinash P Tamgadge  1 , Rajiv Mengi, Sandhya Tamgadge, Sudhir S Bhalerao
Affiliations
Case Reports

Chronic invasive aspergillosis of paranasal sinuses: A case report with review of literature

Avinash P Tamgadge et al. J Oral Maxillofac Pathol. 2012 Sep.

Abstract

Aspergillosis of the nasal and paranasal sinuses is recognized as being second to candidiasis, among opportunistic fungal infections in immunocompromised patients. However, invasive variant in normal and mildly immunocompromised hosts is a very rare occurrence. We report one such case of aspergillosis involving paranasal sinuses in mildly immunocompromised patient.

Keywords: Aspergillosis; fruiting body; hyphae; methanamine silver stain.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Extra-oral photograph showing swelling on left side of face
Figure 2
Figure 2
CT PNS showing there is erosion of alveolar cortex of the maxilla in the region of maxillary central incisors, posterolateral wall of the left maxillary sinus and inferior orbital wall (orbital floor) with extension of the soft tissue within the maxillary sinus, contiguous with buccal space and mild extension into orbital cavity
Figure 3
Figure 3
Photomicrograph reveals characteristic septate fungal hyphae of an Aspergillus species (H and E, ×100)
Figure 4
Figure 4
Photomicrograph reveals fungal hyphae and a fruiting body of an Aspergillus species (H and E, ×40)
Figure 5
Figure 5
Photomicrograph reveals fruiting body of an Aspergillus species (H and E, ×100)
Figure 6
Figure 6
Photomicrograph reveals characteristic septate fungal hyphae of an Aspergillus species (Gnott-Gomori methanamine silver stain, ×100)
Figure 7
Figure 7
Photomicrograph reveals spores of fungal hyphae of an Aspergillus species (Gnott-Gomori methanamine silver stain, ×100)
See this image and copyright information in PMC

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