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Case Report
Candida infection of zygomatic implants/fillers in an HIV-positive patient: A case report
1 Northern Ontario School of Medicine, Sudbury, ON P3E 2C6, Canada
2 Department of Radiology, Health Sciences North, Northern Ontario School of Medicine, Sudbury, ON P3E 5J1, Canada
Address correspondence to:
Yasmine Sallam
41, Ramsey Lake Road, Sudbury, ON,
Canada
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Article ID: 101488Z01ZG2025
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How to cite this article
Gagné Z, Mensour E, Mejía MEM, Elnayal A, Sallam Y. Candida infection of zygomatic implants/fillers in an HIV-positive patient: A case report. Int J Case Rep Images 2025;16(1):1–4.ABSTRACT
Introduction: Facial fillers are a common procedure that has gradually been increasing in popularity. While most cases of facial fillers have good outcomes, a small percentage have associated complications, with infection being one of the most common.
Case Report: We present a case of a 63-year-old human immunodeficiency virus (HIV)-positive male who presented to the emergency department following a two-week history of a swollen and tender right cheek. The patient had a history of facial cosmetic procedures, including facial fillers and cheek implants. Infection was suspected and the patient was sent for a computed tomography (CT) scan that revealed the presence of a peripherally enhancing organized fluid collection overlying the right zygomatic bone. Analysis of the fluid revealed the presence of Candida albicans. The abscess was drained and treated with a two-week course of fluconazole.
Conclusion: For oral and maxillofacial surgeons as well as radiologists, this case report highlights the importance of being familiar with the normal anatomical location and radiologic appearance of facial fillers and their associated complications.
Keywords: Candida, Facial fillers, Head and neck radiology, HIV
SUPPORTING INFORMATION
Author Contributions
Zacharie Gagné - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Emma Mensour - Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Mauricio Enrique Moreno Mejía - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Amr Elnayal - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Yasmine Sallam - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementAs the patient's identity was not revealed, consent was not sought.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Zacharie Gagné et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
