Invasive fungal rhinosinusitis in an apparently immunocompetant patient

Annales de pathologie
Samah El NaderiCécile Badoual

Abstract

The incidence of invasive fungal rhinosinusitis is constantly increasing, due to the growing number of immunocompromised patients. We report the case of a 73-year-old patient with a severe aortic stenosis whose preoperative evaluation revealed a recurrence of a left maxillary sinusitis operated many years ago. The patient underwent meatotomy and drainage. Pathologic examination of the sinus mucosa revealed the presence of septate and branched fungal hyphae invading the blood vessels. The diagnosis of invasive aspergillosis was thus established and the patient was treated by oral voriconazole. Our report describes the case of an invasive chronic form of a fungal rhinosinusitis occurring in an immunocompromised patient, and exposes the different forms of invasive fungal rhinosinusitis. The diagnosis of an invasive form of fungal rhinusinusitis should be suspected in immunocompromised patients in particular, but also in immunocompetent patients. The appropriate treatment should be promptly set up, given the bad prognosis of acute and fulminant cases.

References

Nov 21, 1997·Archives of Otolaryngology--head & Neck Surgery·R D deShazoR Swain
Jul 22, 1998·The American Journal of the Medical Sciences·R D deShazo
Jan 19, 1999·The Journal of Infection·C J Clancy, M H Nguyen
Sep 6, 2005·Annales de pathologie·Audrey RousseauCécile Badoual
Jun 26, 2007·The British Journal of Oral & Maxillofacial Surgery·Kishore Shetty
Jul 26, 2008·Medical Mycology·Richard D Deshazo
Jul 30, 2008·Medical Mycology·Arunaloke ChakrabartiNaresh K Panda
Jun 23, 2009·The Laryngoscope·Arunaloke ChakrabartiBishan D Radotra

❮ Previous
Next ❯

Citations

Jul 5, 2017·The Laryngoscope·Yi Chen ZhaoAlkis James Psaltis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aspergillosis

Aspergillosis is the name given to a wide variety of diseases caused by infection by fungi of the genus Aspergillus. Aspergillosis occurs in chronic or acute forms which are clinically very distinct. Most cases of acute aspergillosis occur in patients with severely compromised immune systems. Chronic colonization or infection can cause complications in people with underlying respiratory illnesses. Discover the latest research on aspergillosis here.

Aspergillosis (ASM)

Aspergillosis is the name given to a wide variety of diseases caused by infection by fungi of the genus Aspergillus. Aspergillosis occurs in chronic or acute forms which are clinically very distinct. Most cases of acute aspergillosis occur in patients with severely compromised immune systems. Chronic colonization or infection can cause complications in people with underlying respiratory illnesses. Discover the latest research on aspergillosis here.

Related Papers

Current Allergy and Asthma Reports
M S Schubert
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Arvin K RaoHassan H Ramadan
© 2021 Meta ULC. All rights reserved