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Oral and Maxillofacial Surgery

, Volume 16, Issue 4, pp 403–404 | Cite as

A facial swelling with multiple discharging sinuses: a diagnostic conundrum

  • Joe HennessyEmail author
  • Atul Kusanale
  • Clive Pratt
Case Report

Abstract

Background

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.

Case report

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.

Discussion

The investigations and the pathophysiology of dermatophytic infections and their management in a maxillofacial/oral medicine environment are discussed.

Keywords

Tinea barbae Subcutaneous sinuses Anti-fungals 

Notes

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.

References

  1. 1.
    Rutecki GW, Wurtz R, Thomson RB (2000) From animal to man: tinea barbae. Curr Infect Dis Rep 2:433–437PubMedCrossRefGoogle Scholar
  2. 2.
    Baran W, Szepietowski JC, Schwartz RA (2004) Tinea barbae. Acta Dermatoven APA 13:91–94Google Scholar
  3. 3.
    Szepietowski JC, Schwartz RA (2004) Tinea faciei. eMedicine Dermatology [Journal serial online]. Available at: http://author.emedicine.com/derm/topic740.htm. Accessed 26 June 2011
  4. 4.
    Szepietowski JC, Schwartz RA (2004) Tinea barbae. eMedicine Dermatology [Journal serial online]. Available at http://author.emedicine.com/derm/topic419.htm. Accessed 26 June 2011

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Western Sussex NHS TrustChichesterUK

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