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



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.


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


Tinea 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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    Szepietowski JC, Schwartz RA (2004) Tinea barbae. eMedicine Dermatology [Journal serial online]. Available at Accessed 26 June 2011

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Western Sussex NHS TrustChichesterUK

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