Subcutaneous canine fossa aspergilloma to intervene or not - case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20222176Keywords:
Aspergillosis, Canine fossa, Subcutaneous, Voriconazole, DebridementAbstract
The term “Aspergillosis” refers to an illness due to allergy, airway or lung invasion, cutaneous infection, or extrapulmonary dissemination caused by species of Aspergillus. A 51-year-old male with a history of swelling in the right maxillary region is presented. The diagnosis was subcutaneous aspergillosis in an immunocompromised patient, which was successfully treated with voriconazole and surgical excision of the mass. Possible clinical manifestations, diagnostic imaging techniques and treatment used are highlighted upon. Patient was taken up for premaxillary mass excision by sublabial approach. Sublabial incision was given in the upper gingivo-buccal sulcus from right canine upto the first molar, the canine fossa and a subcutaneous mass was dissected from anterior wall of maxilla Histopathological report was consistent with fungal granuloma with predominant hyphae of aspergillus. Patient was prescribed voriconazole 200 mg twice a day with weekly monitoring of liver functions.
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References
Sharma D, Mahajan N, Rao S, Khurana N, Jain S. Invasive maxillary aspergillosis masquerading as malignancy in two cases: Utility of cytology as a rapid diagnostic tool. J Cytol. 2012;29(3):194-6.
Akhaddar A, Gazzaz M, Albouzidi A, Lmimouni B, Elmostarchid B, Boucetta M. Invasive Aspergillus terreus sinusitis with orbitocranial extension: case report. Surg Neurol. 2008;69:490-5.
García-Reija MF, Crespo-Pinilla JI, Labayru-Echeveria C, Espeso-Ferrero A, Verrier-Hernández A. Invasive maxillary aspergillosis: report of a case and review of the literature. Med Oral. 2002;7:200-5.
Barton RC. Laboratory Diagnosis of Invasive Aspergillosis: From Diagnosis to Prediction of Outcome. Scientifica. 2013;459405.
Aquino VR, Goldani LZ, Pasqualotto AC. Update on the contribution of galactomannan for the diagnosis of invasive aspergillosis. Mycopathologia. 2007;163:191-202.
Singh N, Siddaraju N, Kumar S, Muniraj F, Bakshi S, Gopalakrishnan S. Fine-needle aspiration biopsy as an initial diagnostic modality in a clinically unsuspected case of invasive maxillary fungal sinusitis: A case report. Diagn Cytopathol. 2010;38:290-3.
Nakaya K, Oshima T, Kudo T, Aoyagi I, Katori Y, Ota J. New treatment for invasive fungal sinusitis: three cases of chronic invasive fungal sinusitis treated with surgery and voriconazole. Auris Nasus Larynx. 2010;37:244-9.
Arakawa H, Suto C, Notani H, Ishida T, Abe K, Ookubo Y. Selection of the antifungal agent decides prognosis of invasive aspergillosis: case report of a successful outcome with voriconazole. Int Ophthalmol. 2014;34:85-9in East Asia. Dis Colon Rectum. 2012;55(8):900-6.