Rare presentation of Aspergillus as cystic swelling in pre-maxillary region

Authors

  • Ishita . Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College and Hospital, Patiala, Punjab, India
  • Yadav Vishav Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College and Hospital, Patiala, Punjab, India
  • Sharma Kumar Dinesh Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College and Hospital, Patiala, Punjab, India
  • Bhagat Sanjeev Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College and Hospital, Patiala, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213297

Keywords:

Cystic swelling, Pre-maxillary mass, Aspergillus

Abstract

Subcutaneous fungal infections are caused by penetration of the causative fungi into the subcutaneous layer and usually present as single, localised non-tender nodular swelling. The diagnostic process is a vital dynamic process that requires effective communication and efficient collaboration. Aspergillus hyphae invade host tissues through release of various toxins like proteases, phospholipases, hemolysins, gliotoxin, aflatoxin, phthioic acid and other toxins. Under general anesthesia and proper aseptic conditions using Moure incision surgical debulking of the pre-maxillary mass was done and post-operatively oral antifungal medication was started. Multiple cystic swelling was sent for histopathological examination and found to be non-invasive Aspergillus fungal infection. Subcutaneous form of aspergillosis manifest as subcutaneous fungal infection. We presented an unusual case report of 45 years old immunocompetent female with cystic presentation of aspergillosis involving premaxillary region.

References

Sharma OP, Chwogule R. Many faces of pulmonary aspergillosis. Eur Respir J. 1998;12(3):705-15.

Burik JA, Colven R, Spach DH. Cutaneous aspergillosis. J Clin Microbiol. 1998;36(11):3115-21.

Higuera J, Mullins CB, Duran L, Sandoval H, Akle N, Figueroa R. Sinonasal Fungal Infections and Complications: A Pictorial Review. J Clin Imaging Sci. 2016;6:23.

Karthikeyan P, Nirmal CV. Incidence and presentation of fungal sinusitis in patient diagnosed with chronic rhinosinusitis. Indian J Otolaryngol Head Neck Surg. 2010;62(4):381-5.

Kwon J, Park KH, Park SI, Jin SY. Aspergillosis of the paranasal sinuses--diagnostic significance of the computed tomography. Yonsei Med J. 1989;30(3):294-7.

Samaranayake LP, Keung Leung W, Jin L. Oral mucosal fungal infections. Periodontol 2000. 2009;49:39-59.

Madhavan M, Aurora AL, Gupta KR, Sibal RN. Subcutaneous facial aspergillosis. J Postgrad Med. 1977;23(3):140-2.

Rabbani MZ, Amir M, Khan MY, Khan AS, Ali Z. Primary aspergillosis of the cheek. A diagnostic dilemma. J Pak Med Assoc. 2007;57(12):613-5.

Duraipandian J, Rengasamy G, Madasamy B, Kulanthaivelu A, Subramanian G. Subcutaneous aspergillosis with coexisting atypical mycobacterial infection. Indian J Pathol Microbiol. 2010;53(2):359-60.

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Published

2021-08-23

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Section

Case Reports