SEQUESTRATION OF THE ALVEOLAR BONE BY INVASIVE ASPERGILLOSIS IN ACUTEMYELOID-LEUKEMIA

Compared to non-invasive aspergillosis, invasive aspergillosis in the region of the mouth, jaw and face has rarely been reported. It occurs particulary often in the presence of haematological oncological illnes s. The case of a patient suffering from acute myeloid leukemia is desc ribed; he contracted invasive aspergillosis of the lungs and the alveo lar processes in the course of chemotherapeutic treatment. All the alv eolar processes in the region of the premolars and molars were demarca ted and had to be removed by sequestrectomy. The therapy of invasive a spergillosis should be carried out within the framework of intensive i nterdisciplinary treatment. In addition to systemic and local antimyco tic therapy, the debridement of necrotic hard and soft tissue was nece ssary.