Abstract
A case of candidosis of the maxillary sinus is reported in a 65-year-old woman with a history of rectal cancer. The patient presented with chronic pressure-like discomfort over the maxillary sinus and drainage from an oroantral fistula. A specific fungal culture from the right maxillary sinus was positive, and Candida albicans was isolated. A computed tomographic scan showed soft tissue density with partial opacity in both maxillary sinuses. Radical bilateral sinusotomies of the maxillary sinus were performed to remove a fungal ball and diseased soft tissue. Histopathological examination showed the caseous material to be fungal hyphae. The patient was treated with amphotericin B to prevent postoperative dissemination. Ten months after surgery, no recurrence of infection had occured.
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