Maxillary fungus ball in a diabetic patient. An odontogenic origin
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Abstract
INTRODUCTION: Fungus ball (FB) represents a granulomatous mass due to a fungal colonization which may disseminate
and potentially lead to a systemic infection. Maxillary fungus ball is considered to be a complication of dental treatment and, according to relevant literature, it often stems from improper endodontic therapies.
MATERIAL AND METHODS: The authors report the case of a 69-year-old caucasian woman with nasal respiratory distress
and frequent sinusitis symptoms. According to clinical and radiological evidence, FESS surgery was planned, thus validating FB diagnostic hypothesis.
CONCLUSIONS: Fungal infection should always be considered in patients with sinusitis and previous root canal theraphy.
Misdiagnosis can lead to severe complications. Surgical removal seems to be effective and resolutive.