Mucormycotic osteomyelitis of maxilla post-COVID patient: a case report

Pan Afr Med J. 2021 Aug 27:39:275. doi: 10.11604/pamj.2021.39.275.30480. eCollection 2021.

Abstract

Fungal osteomyelitis is a life-threatening and seldom seen opportunistic infection. It is commonly an affectation of the nose and paranasal sinuses within the orofacial region. It is an aggressive infection that needs to be addressed promptly to prevent fatal consequences. The mode of infection is via the inhalation route and infection begins initially in the nose and paranasal sinuses with subsequent invasion into the vascular tissue, eventually leading to thrombosis and necrosis of nearby hard and soft tissues. Here, we report a case of a 31-year-old male who presented with pain over the upper jaw that was sudden in onset, continuous, dull aching, radiating towards forehead and neck of the left side, aggravates on mastication and relives on its own. He had a history of uncontrolled diabetes mellitus. On further investigation, using diagnostic and Interventional aids, a final diagnosis of mucormycotic osteomyelitis of the maxilla was made.

Keywords: Fungal osteomyelitis; case report; diabetes mellitus; paranasal sinuses; seldom.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • COVID-19 / complications*
  • Diabetes Mellitus / physiopathology
  • Humans
  • Male
  • Maxillary Diseases / diagnosis*
  • Maxillary Diseases / microbiology
  • Maxillary Diseases / pathology
  • Mucormycosis / diagnosis*
  • Mucormycosis / pathology
  • Opportunistic Infections / diagnosis
  • Opportunistic Infections / microbiology
  • Opportunistic Infections / pathology
  • Osteomyelitis / diagnosis*
  • Osteomyelitis / microbiology
  • Osteomyelitis / pathology