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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

February 2012
Volume 43 , Issue 2

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Noninvasive aspergillosis as a maxillary antrolith: Report of a rare case

João César Guimarães Henriques, DDS, MS, PhD/Eliane Maria Kreich, DDS, MS, PhD/Rafaela Rangel Rosa, DDS, MS, PhD/Julio Cezar de Melo Castilho, DDS, MS, PhD/Luiz Cesar de Moraes, DDS, MS, PhD/Mari Eli Leonelli de Moraes, DDS, MS, PhD

Pages: 143–146
PMID: 22257876

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. (Quintessence Int 2012;43:143–146)

Key words: aspergillosis, Aspergillus fumigatus, maxillary diseases, maxillary sinus

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