A Case Report of Maxillary Aspergillosis with Unusual Clinical and Imaging Presentations

Abstract

Aim:The aim of the present study was to present a case of maxillary aspergillosis with unusual clinical presentation and imaging findings. Background: The range of lesions and conditions that affect the maxillary sinus is wide and vast. This necessitates a dynamic multidisciplinary approach for proper diagnosis and effective management. Case description: We present an unusual case of maxillary aspergillosis that mimicked apical periodontitis and was most consistent with lymphoma from the diagnostic imaging perspective. Histopathology, however, established the correct diagnosis; appropriate management commenced promptly. Conclusion: It is imperative that maxillary aspergillosis be diagnosed and managed properly and promptly to improve prognosis. Advanced imaging is required, but it plays an adjunct role to histopathology. Long-term follow-up is also necessary to ensure complete resolution of the infection. Clinical significance: Correlating clinical and imaging findings is a crucial step and any inconsistencies should be resolved promptly so as not to delay adequate management. Histopathology often serves to dispute any inconsistencies and allows the establishment of a proper diagnosis.

A rare case of a nasal cavity fungus ball due to Aspergillus niger

“…The diagnostic process is vital and dynamic that requires efficient communication and collaboration. The proper investigation is an essential step in the diagnosis, which usually requires imaging; although, imaging alone is not sufficient [ 7 ]. FB displays radiographically as a radiopaque image, which resembles a foreign body [ 8 ].…”