Chronic invasive fungal sinusitis: one case report
DOI:
https://doi.org/10.34631/sporl.252Keywords:
Fungal sinusitis, chronic invasive fungal sinusitis, Aspergillus fumigatusAbstract
Sinusitis is a common disorder affecting approximately 20% of the population. Whether fungi can exist in sinus mucus without causing disease is unclear. Once considered uncommon, fungal sinusitis has increased dramatically over the past two decades. The exact prevalence rate is, however, not known.
ln the most recent classification system, fungal sinusitis is divided into noninvasive and invasive forms. Noninvasive fungal sinusitis has been categorized into fungus ball and allergic fungal sinusitis. lnvasive fungal sinusitis has been divided into acute fulminant fungal sinusitis, chronic invasive fungal sinusitis and granulomatous invasive fungal sinusitis. The development of these forms depends on the immunologic relationship of the fungus to the host, as invasive form usually occurs in immunocompromised hosts.
The authors present a case of a 62-years-old woman, immunocompetent, with headache and blindness. lmaging studies showed sphenoidal sinus opacified with bone erosion. During surgery a yellow-greenish mass was detected on the sphenoidal sinus. Microbiologic examination revealed the presence of Aspergillus fumigatus. lt was prescribed variconazol and one week after surgery she had no complaints. Ten months after surgery she stays asymptomatic.
References
Nechama U, Raanan CK, Irit E et al. Classification on fungal sinusitis in immunocompetent patients. Otolaryngol Head Neck Surg. 2003; 129 (4): 372-8.
Fatterpekar G, Mukherji S, Arbealez A et al. Fungal diseases of the paranasal sinuses. Semin Ultrasound CT MRI. 1999 Dec; 20 (6): 391-401.
Carothers D. Fungal sinusitis. 2008 Mar. www.american-rhinologic.org/patientinfo.fungal.phtml. Acedido em Julho 31, 2008
Ramadan H. Fungal sinusitis. 2006 Aug. www.emedicine.medscape.com/article/863062-overview. Acedido em Julho 31, 2008
Prichard C. Invasive fungal sinusitis. 2004 Dec. www.bcm.edu/oto/grand12-09-04.htm. Acedido em Julho 31, 2008.
DeShazo R, O'Brien M, Chapin K et al. A new classification and diagnostic criteria for invasive fungal sinusitis. Arch Otolaryngol Head Neck Surg. 1997; 123: 1181-88.
Browning G, Burton M, Clarke R et al. Scott-Brown's Otorhinolaryngology, Head and Neck Surgery. 7th ed, London, Hodder Arnold; 2008: pp 1449-57.
Xavier S, Korn G, Granato L. Mucormicose rinocerebral: apresentação de caso com sobrevida e revisão da literatura. Rev Bras Otorrinolaringol. 2004 Sep; 70 (5): 710-4.
Cummings C, Flint P, Haughey B et al. Otolaryngology: Head and Neck Surgery. 4th ed, St Louis, Mosby; 2005: pp 1187-92.
Busaba N, Golden D, Faquin W et al. Chronic invasive fungal sinusitis: a report of two atypical cases - original article. Ear Nose Throat J. 2002 Jul; 81 (7): 462-6.
Mylona S, Tzavara V, Ntai S et al. Chronic invasive sinus aspergillosis in an immunocompetent patient: a case report. Dentomaxillofac Radiol. 2007; 36: 102-4.
