A Case of Allergic Fungal Rhinosinusitis with Concurrently Occuring Fungus Ball
Journal of Rhinology
;
: 47-50, 2015.
Artículo
en Coreano
| WPRIM
| ID: wpr-188239
ABSTRACT
Allergic fungal rhinosinusitis (AFRS) is a noninvasive fungal infection of the paranasal sinuses that are usually seen in young immunocompetent patients with atopy and/or asthma. Fungus balls can grow in moist cavities of the paranasal sinuses of a host with normal immunologic status. Cases of AFRS with concurrent fungus balls is very rare. We present a case of a patient who had AFRS on one side of the paranasal sinus and allergic fungal sinusitis on the other side. A 51-year-old female with atopy presented with a few-year history of nasal obstruction and rhinorrhea, as well as a history of high-dose systemic steroid therapy. The patient had nasal polyps and showed an elevated level of total IgE and positive MAST to fungal antigens. Endoscopic sinus surgery was performed. Allergic mucin from the right maxillary sinus contained sheets of eosinophils and Charcot-Leyden crystals. Also, a clay-like dark brown material from the left maxillary sinus was revealed to be a fungus ball.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Senos Paranasales
/
Aspergilosis
/
Asma
/
Sinusitis
/
Inmunoglobulina E
/
Obstrucción Nasal
/
Pólipos Nasales
/
Eosinófilos
/
Hongos
/
Micetoma
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of Rhinology
Año:
2015
Tipo del documento:
Artículo
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