Patient with allergic fungal sinusitis – staining of eosinophilic mucin

Allergic fungal sinusitis (or eosinophilic fungal rhinosinusitis)

1 Axial computed tomography (CT) scans of the frontal sinus.
A: due to the long lasting pressure of mucus, the bone of the anterior wall of frontal sinus is thinned out and elevated anteriorly, forming a bulge. B: same situation as depicted in fig A: the posterior bony wall of frontal sinus is thinned out and extremely elevated posteriorly towards the frontal lobe of the brain. As depicted on the scan, a thin bony layer covering the dura could be recognized intraoperatively

Allergic fungal sinusitis (or eosinophilic fungal rhinosinusitis)

2 Same patient as 1 and 3, frontal CT

Allergic fungal sinusitis (or eosinophilic fungal rhinosinusitis)

3 Frontal CT

Allergic fungal sinusitis (Eosinophilic fungal rhinosinusitis)

Allergic fungal sinusitis (Eosinophilic fungal rhinosinusitis)

Plugging of airways with mucus

E. 6 months later- yellow secretions cleared after suction

Plugging of airways with mucus

D. 6 months later, tenacious yellow secretions in L basal bronchial division

Clone of Plugging of airways with mucus

C. After suction the material was seen to extend distally – obstructing the right basal stem bronchus

Plugging of airways with mucus

B. After suction the material was seen to extend distally – obstructing the right basal stem bronchus

Plugging of airways with mucus

A. Necrotic mass prolapsing in and out of the distal right intermediate bronchus obscuring both the basal stem and basal division