Persistent Severe Headache After Removal of Fungus Ball From the Sphenoid Sinus: A Case Report.

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2024-08-01 Epub Date: 2024-05-10 DOI:10.1177/00034894241253961
Tae Hoon Kim, SungHee Kim
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Abstract

Objective: Granulomatous invasive fungal sinusitis (GIFS) is a rare and life-threatening disease, whereas fungus ball (FB) is the most common form of noninvasive fungal sinusitis. Both GIFS and FB primarily develop in immunocompetent patients, with the former associated with higher mortality and morbidity.

Methods: A chart review and review of the literature.

Results: We present the case of a 77-year-old woman with mixed fungal sinusitis who was successfully treated with voriconazole.

Conclusions: GIFS and FB can coexist in extremely rare cases, known as mixed fungal sinusitis; however, the diagnosis and subsequent treatment of mixed fungal sinusitis can be delayed because of a lack of awareness of the underlying concept. Therefore, it is crucial for clinicians to recognize the concept of mixed fungal sinusitis.

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切除蝶窦真菌球后的持续性剧烈头痛:病例报告。
目的:肉芽肿侵袭性真菌性鼻窦炎(GIFS)是一种罕见且危及生命的疾病,而真菌球(FB)则是非侵袭性真菌性鼻窦炎最常见的形式。GIFS 和 FB 都主要发生在免疫功能正常的患者身上,前者的死亡率和发病率较高:方法:病历回顾和文献综述:结论:GIFS 和 FB 可同时存在:结论:在极少数情况下,GIFS 和 FB 可同时存在,这就是所谓的混合性真菌鼻窦炎;然而,由于缺乏对这一基本概念的认识,混合性真菌鼻窦炎的诊断和后续治疗可能会被延误。因此,临床医生必须认识到混合真菌性鼻窦炎的概念。
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来源期刊
CiteScore
3.10
自引率
7.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.
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