A facial swelling with multiple discharging sinuses: a diagnostic conundrum
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Many disease processes can present with facial swelling and multiple discharging sinuses. A differential diagnosis would include actinomycosis, tuberculosis and osteomyelitis, but tinea barbae is a relatively uncommon presentation.
The following case report describes a 48-year-old jockey who was diagnosed with tinea barbae. It chronicles the investigations that were performed to determine the offending pathogen and the difficulty in achieving a diagnosis.
The investigations and the pathophysiology of dermatophytic infections and their management in a maxillofacial/oral medicine environment are discussed.
KeywordsTinea barbae Subcutaneous sinuses Anti-fungals
Conflicts of interest
I confirm that the above information is accurate. There are no real or potential conflicts of interest relevant to the topic of the manuscript.
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