Concomitant Histopathological Findings of Allergic Fungal Sinusitis and Fungal Ball in the Same Sinus: A Rare Case Report

V. Mehta, K. Parks, A. Bewtra

Author address: 

Center for Allergy, Asthma and Immunology, Creighton University Medical Center, Omaha, NE


BACKGROUND: Allergic fungal sinusitis (AFS) and fungal ball (mycetoma) are two forms of noninvasive fungal sinusitis distinct in their clinical presentations, histopathologic features, treatment modalities, and prognoses. We report an unusual case where histopathological findings of both entities were found in the same sinus. CASE: A 63-year-old immunocompetent man with a history of allergic rhinitis, asthma and chronic rhinosinusitis (CRS) was referred to our clinic for worsening of asthma and sinonasal symptoms one year after undergoing maxillary sinus surgery. Laboratory investigations revealed peripheral eosinophilia (1300/μL) and a markedly elevated total IgE level (5469 kU/L; normal value

abstract No: 


Full conference title: 

2006 American Academy of Allergy, Asthma, and Immunology Annual Meeting
    • AAAAI 2006 (62nd)