上顎洞に発症したアスペルギルス症の1例 : 血清学的検査の有用性についての考察  [in Japanese] A case of aspergillosis of the maxillary sinus: discussion of the usefulness of serological examinations  [in Japanese]

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Author(s)

    • 野田 佳子 NODA Yoshiko
    • 徳島大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Tokushima
    • 桃田 幸弘 MOMOTA Yukihiro
    • 徳島大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Tokushima
    • 里村 一人 SATOMURA Kazuhito
    • 徳島大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Tokushima
    • 鎌田 伸之 KAMATA Nobuyuki
    • 徳島大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Tokushima
    • 長山 勝 NAGAYAMA Masaru
    • 徳島大学歯学部口腔外科学第一講座 First Department of Oral and Maxillofacial Surgery, School of Dentistry, The University of Tokushima

Abstract

Aspergillosis is caused by infection with <I>Aspergilli</I>. It is often difficult to make an exact diagnosis before identification of <I>Aspergilli</I> by microbial examination because aspergillosis is difficult to differentiate from other diseases. We present a case of aspergillosis of the maxillary sinus that could be diagnosed on serological examination for <I>Aspergilli</I> or fungi specific sugar.<BR>A 51-year-old woman visited to our hospital because of swelling in the gingiva of the maxilla. Radical operation of the maxillary sinus was performed for a clinical diagnosis of aspergillosis of the maxillary sinus. Histopathological examination revealed <I>Aspergilli</I> in the extirpated tissue of the maxillary sinus. Serological examinations showed elevated serum levels of galactomannan and β-D-glucan. Galactomannan is a specific marker for <I>Aspergilli</I>, and β-D-glucan is specific for fungi. Both makers fell to normal levels after operation, Suggesting that serological examinations for galactomannan and β-D-glucan are useful in the diagnosis of aspergillosis of the maxillary sinus.

Journal

  • Japanese Journal of Oral and Maxillofacial Surgery

    Japanese Journal of Oral and Maxillofacial Surgery 47(12), 811-814, 2001-12-20

    Japanese Society of Oral and Maxillofacial Surgeons

References:  16

Cited by:  2

Codes

  • NII Article ID (NAID)
    10009461374
  • NII NACSIS-CAT ID (NCID)
    AN00189163
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00215163
  • Data Source
    CJP  CJPref  J-STAGE 
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