Abstract
INTRODUCTION: Aspergillosis of the paranasal sinus is a rare, opportunistic infection mostly seen in immune-compromised patients. Among Aspergillus-related paranasal sinus infections, the most commonly isolated species is Aspergillus fumigatus. CASE REPORT: Reported here is a case of aspergillosis in the left maxillary sinus in a patient who had taken chemotherapy due to adinocarcinoma in the salivary gland. The patient was complaining of severe pain; but the source of pain could not be detected in the clinical examination. On radiographic examination of a panoramic film taken from the patient, a radio-opaque substance in the left maxillary sinus, with indefinite borders, resembling a broken root was seen. A Caldwell-Luc operation was performed under local anesthesia, and the broken root together with infected tissues were removed and sent to the Oral Pathology Department for a histopathological examination. The diagnosis was aspergillosis. After the operation, the patient was instructed to use voriconazole for two weeks (100 mg, 2x1, peroral). Checked on each third month, no clinical sign of aspergillosis was found during the 6 months follow-up period. CONCLUSION: Aspergillosis cases, usually, may be similar to chronic sinusitis and should be approached carefully. When in doubt, pathological examination of tissues from the paranasal sinuses is recommended.
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