Candida infection of zygomatic implants/fillers in an HIV-positive patient: A case report

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.