[ case report offungul sinusitis and review of literature]

ABSTRACT

The patient was a 35 Year old lady who underwent Caldwell-luc sinus surgery with the diagnosis of maxillary chronic sinusitis. Preoperative CT scan showed density and opacity in the right maxillary sinus. The pathologic report of the right maxillary sinus contents was consistent with invasive chronic fungulsinusitis and ASPERGILLUS as causing agent. Other C.T. scan and pathologic report paraclinical findings including CBC and biochemistry lab tests were normal. The patient had no history of previous disease and no evidence of having immunocompromised condition such as diabetes mellitus. Fungal sinusitis is an imprtant entity in different types of sinusitis. Early diagnosis and following treatment have an imporant role in reduction of mortality and morbidity especially in immunocompromised patients. CT scan and MRI are selective for diagnosis of fungal sinusitits and its extention. Most complications of fungul sinusitis are orbital and intracranially spread. Treatment is medical [systemic antifungal] and surgery