Maxillary Sinus Mycetoma Due to Aspergillosis : Case Report

Ref ID: 19482

Author:

M Meidani1, S Haghighipour1*, H Abtahi2, N Afsharmoghadam3, N Ahmadi4, MJ Rikhtegar1,
MH Rikhtegar1, Z Karami Saravi5

Author address:

1Department of Infectious Diseases, Isfahan University of Medical Sciences, Isfahan, Iran
2Department of Otolaryngology, Isfahan University of Medical Sciences, Isfahan, Iran
3Department of Pathology, Isfahan University of Medical Sciences, Isfahan

Full conference title:

6th Advances Against Aspergillosis 2014

Abstract:

Purpose:
Paranasal sinus aspergilloma is a rare disease of sinus which is sometimes considered as mycetoma.
In this condition, there is gathering of fungal mycelium in sinus cavity without any bone or vessel
invasion. It presents as a chronic sinusitis with headache, nasal discharge and obstruction. Diagnosis
of aspergillosis infection is often dependent on clinical judgment combined with radiologic evaluation
and demonstration of the fungus in tissue specimens obtained from the presumed site of infection.
Case Report:
A 53-year-old man with uncontrolled insulin dependent diabetes mellitus presented with a six month
history of headache. He had used various drugs prescribed by different physicians in the past six
months without any effect. Because of progressive headache, he was admitted in the department
of otolaryngology and surgical sinus debridement was done. Histopathological examination was
suggestive of maxillary sinusitis with fungal ball of aspergilloma. The patient was treated with
itraconazole and after 6 months, he felt better with no clinical and paraclinical signs.
Conclusion:
Since fungal sinusitis presentation is similar to chronic sinusitis and in the other hand, the incidence
of aspergillosis is increasing, the early diagnosis and treatment is important especially when the
clinical and paraclinical signs are suggestive.

Abstract Number: 10

Conference Year: 2014

Link to conference website: http://www.AAA2014.org

New link: NULL

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