Invasive Aspergillosis Associated with a Foreign Body

Invasive aspergillosis is a serious complication in immunocompromised individuals. It is associated with a high mortality rate, which demands a combined approach involving radical surgery and antifungal therapy. Here, we describe a patient who presented with nonspecific fever, refractory to antimicr...

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Main Authors: Akifuddin Syed, Prashanth Panta, Imran Shahid, David H. Felix
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2015/875168
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author Akifuddin Syed
Prashanth Panta
Imran Shahid
David H. Felix
author_facet Akifuddin Syed
Prashanth Panta
Imran Shahid
David H. Felix
author_sort Akifuddin Syed
collection DOAJ
description Invasive aspergillosis is a serious complication in immunocompromised individuals. It is associated with a high mortality rate, which demands a combined approach involving radical surgery and antifungal therapy. Here, we describe a patient who presented with nonspecific fever, refractory to antimicrobial agents. Though it primarily involved the nasal cavity and sinuses, it perforated into the oral cavity causing palatal changes. Surprisingly, a foreign body was found in the involved tissues that might have acted as a nidus of infection. A sufficient dose (3 mg/kg/day) of liposomal amphotericin B was initiated soon after a thorough debridement procedure and the patient survived.
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spelling doaj-art-8ec88937f47e49288995be5eb8b0a35d2025-08-20T02:09:21ZengWileyCase Reports in Pathology2090-67812090-679X2015-01-01201510.1155/2015/875168875168Invasive Aspergillosis Associated with a Foreign BodyAkifuddin Syed0Prashanth Panta1Imran Shahid2David H. Felix3Princess DurruShehvar Children’s and General Hospital, Purani Haveli, Hyderabad, Telangana 500002, IndiaDepartment of Oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Medak District, Telangana 502294, IndiaDepartment of Oral Medicine and Radiology, MNR Dental College and Hospital, Narsapur Road, Sangareddy, Medak District, Telangana 502294, IndiaNHS Education for Scotland, Westport 102, WestPort, Edinburgh EH3 9DN, UKInvasive aspergillosis is a serious complication in immunocompromised individuals. It is associated with a high mortality rate, which demands a combined approach involving radical surgery and antifungal therapy. Here, we describe a patient who presented with nonspecific fever, refractory to antimicrobial agents. Though it primarily involved the nasal cavity and sinuses, it perforated into the oral cavity causing palatal changes. Surprisingly, a foreign body was found in the involved tissues that might have acted as a nidus of infection. A sufficient dose (3 mg/kg/day) of liposomal amphotericin B was initiated soon after a thorough debridement procedure and the patient survived.http://dx.doi.org/10.1155/2015/875168
spellingShingle Akifuddin Syed
Prashanth Panta
Imran Shahid
David H. Felix
Invasive Aspergillosis Associated with a Foreign Body
Case Reports in Pathology
title Invasive Aspergillosis Associated with a Foreign Body
title_full Invasive Aspergillosis Associated with a Foreign Body
title_fullStr Invasive Aspergillosis Associated with a Foreign Body
title_full_unstemmed Invasive Aspergillosis Associated with a Foreign Body
title_short Invasive Aspergillosis Associated with a Foreign Body
title_sort invasive aspergillosis associated with a foreign body
url http://dx.doi.org/10.1155/2015/875168
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