Allergic fungal sinusitis masquerading as cavernous sinus thrombosis.

Autor: Chalam KV; Department of Ophthalmology, Loma Linda University Medical School, Loma Linda, California., Enghelberg M; Department of Ophthalmology, Loma Linda University Medical School, Loma Linda, California., Murthy RK; Department of Ophthalmology, Loma Linda University Medical School, Loma Linda, California.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2020 Aug 24; Vol. 2020 (8), pp. rjaa233. Date of Electronic Publication: 2020 Aug 24 (Print Publication: 2020).
DOI: 10.1093/jscr/rjaa233
Abstrakt: Allergic fungal sinusitis (AFS), a noninvasive form of fungal sinusitis, is rarely seen in immunocompetent patients. Involvement of sphenoid sinus can result in proptosis and loss of vision. We report AFS masquerading as posterior cavernous sinus syndrome. A 59-year-old African-American man presented with right complete ptosis with ophthalmoplegia. After an initial work-up and imaging studies, patient underwent endonasal sphenoid surgery, which revealed characteristic 'allergic fungal mucin'. Cavernous sinus syndrome is a rare presenting clinical feature of allergic fungal sinusitis. Ophthalmologists should be aware of this rare presentation of relatively common otorhinological disease for timely referral and appropriate management.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.)
Databáze: MEDLINE
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