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

DOI 被引用文献2件 参考文献16件 オープンアクセス

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  • A case of aspergillosis of the maxillary sinus: Discussion of the usefulness of serological examinations.
  • discussion of the usefulness of serological examinations
  • 血清学的検査の有用性についての考察

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説明

Aspergillosis is caused by infection with Aspergilli. It is often difficult to make an exact diagnosis before identification of Aspergilli 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 Aspergilli 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 Aspergilli 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 Aspergilli, 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.

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