6533b7d8fe1ef96bd126a2b7

RESEARCH PRODUCT

Post endodontic Aspergillosis in an immunocompetent individual

Kalpana NuniaAadithya-basavaraj UrsSujata MohantyHanspal SinghShalini Gupta

subject

medicine.medical_specialtyOral Medicine and Pathologybusiness.industryItraconazoleCase ReportOdontologíamedicine.diseaseAspergillosis:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludSurgeryFemale patientUNESCO::CIENCIAS MÉDICASmedicineEffective treatmentDifferential diagnosisbusinessGeneral DentistryMaxillary left second premolarAspergillomaSeptate fungal hyphaemedicine.drug

description

Non-invasive aspergillosis in immunocompetent individuals subsequent to post endodontic treatment can involve the maxillary antrum. An early and accurate diagnosis will aid in prompt and effective treatment. A 35 year old female patient reported with a painful nasomaxillary swelling. Previous records revealed the failure of the endodontic treatment of maxillary left second premolar which was subsequently extracted. Root piece was accidently left behind which resulted in a painful nasomaxillary swelling. The extraction socket was curetted and tissue was sent for histopathological examination, which revealed abundant septate fungal hyphae with numerous spores characteristic of Aspergillus. The patient showed marked improvement in the symptoms with systemic itraconazole at 3 months follow up and complete resolution occurred within 6 months. Inclusion of aspergilloma infections in the differential diagnosis is advocated when patients present with post-endodontic nasomaxillary swelling. Key words:Aspergillosis, fungal sinusitis, post root canal treatment.

yearjournalcountryeditionlanguage
2015-10-01
http://hdl.handle.net/10550/48364