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Case Reports
. 2018 Mar 1;10(3):e300-e305.
doi: 10.4317/jced.53655. eCollection 2018 Mar.

Mucormycosis of maxilla following tooth extraction in immunocompetent patients: Reports and review

Kumar Nilesh  1 , Aaditee V Vande  2
Affiliations
Case Reports

Mucormycosis of maxilla following tooth extraction in immunocompetent patients: Reports and review

Kumar Nilesh et al. J Clin Exp Dent. .

Abstract

Mucormycosis is a rare, fulminant, rapidly spreading fungal infection, which usually affects patient with underlying immune deficiency. If not managed promptly, the disease is characterized by progressive necrosis and is often fatal. A review of English literature shows that only fourteen cases of mucormycosis have been reported after tooth extraction. This paper highlights two cases of mucormycosis subsequent to tooth extraction in healthy adult patients. This first patient presented with an oroantral fistula and extensive maxillary necrosis. Whereas the second case was localized and presented as non-healing extraction socket with alveolar necrosis. This adds two more cases of this rare and serious complication of tooth extraction, to the present literature. Key words:Fungal, infection, zygomycosis, exodontia, complication, jaw, necrosis.

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Conflict of interest statement

Conflict of interest statement: The authors have declared that no conflict of interest exist.

Figures

Figure 1
Figure 1
[Case 1] (Clinical presentation of the disease as oroantral fistula (a); Water’s view radiograph showing involvement of left maxillary sinus (b). Photomicrograph (H & E stained section; 40X magnification) showing broad and aseptate fungal hyphae with area of necrosed bone (c).
Figure 2
Figure 2
[Case 1] CT scan (axial section) showing thickening of antral lining and destruction of anterior wall of maxilla (a); Three dimensional formatted CT image showing involvement of left maxilla (b). Intraoperative pictures showing surgical debridement and removal of the sequestrum with the buccal fat pad mobilized into the defect (arrow) (c); closure of the oroantral communication (d).
Figure 3
Figure 3
[Case 2] Clinical presentation as necrosed alveolar bone at site of extraction (a); Orthopantamogram showing of the involved region (b). Intra-operative photograph showing closure of the surgical site after removal of the necrosed alveolar bone (inset image) (c). Photomicrograph (H & E stained section; 100X magnification) showing aseptate, thin walled fungal hyphae with irregular contour (d).
See this image and copyright information in PMC

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