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Quintessence International



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Quintessence Int 43 (2012), No. 2     15. Jan. 2012
Quintessence Int 43 (2012), No. 2  (15.01.2012)

Page 143-146, PubMed:22257876

Noninvasive aspergillosis as a maxillary antrolith: Report of a rare case
Henriques, João César Guimarães / Kreich, Eliane Maria / Rosa, Rafaela Rangel / de Melo Castilho, Julio Cezar / de Moraes, Luiz Cesar / de Moraes, Mari Eli Leonelli
Maxillary antrolithiasis is characterized by masses of tissue of endogenous or exogenous origin that calcify within the maxillary sinuses. Aspergillosis is a fungal disease in which the maxillary sinus is a primary site of infection. Aspergillosis mycetoma, its noninvasive form, is the most prevalent modality of the disease in the maxillary sinuses. In approximately half of the cases reported in the literature, calcification of the fungal mycelia, which later became antroliths, was verified. This article reports a rare case of the accidental discovery of a maxillary antrolith associated with noninvasive aspergillosis in an immunocompetent and asymptomatic 56-year-old woman. The diagnosis and therapeutic procedures used in treating the patient are discussed as well as the probable iatrogenic origin of the fungal pathology.

Keywords: aspergillosis, Aspergillus fumigatus, maxillary diseases, maxillary sinus