Endoscopic endonasal resection of a Drechslera hawaiiensis sphenoid fungal ball.

Autor:	Lara-Olivas JA; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Sangrador-Deitos MV; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Marian-Magaña R; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Padilla-Leal KE; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Soto-Hernández JL; Department of Neuroinfectology, National Institute of Neurology and Neurosurgery, Mexico City, Mexico., Gomez-Amador JL; Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2023 Sep 08; Vol. 14, pp. 321. Date of Electronic Publication: 2023 Sep 08 (Print Publication: 2023).
DOI:	10.25259/SNI_469_2023
Abstrakt:	Background: Fungal infections should always be considered in difficult-to-treat paranasal sinus conditions. Sphenoid fungal balls are characterized by the presence of dense fungal masses in the sinus cavity without invasion of surrounding tissues. This case emphasizes the importance of accurate terminology and management and also highlights the involvement of rare pathogens such as Drechslera hawaiiensis . Diagnosis is typically based on imaging studies and intraoperative findings. Accurate identification of the pathogen is crucial. Fungal infections of the paranasal sinuses, including fungus balls, can present challenges in diagnosis and treatment. D. hawaiiensis , although infrequent, can cause potential life-threatening infections. Case Description: We present a 26-year-old non-HIV male patient who presented with nasal symptoms and mild headaches. The patient underwent an endoscopic exploration that revealed a soft, grayish lesion with a buttery consistency. Gross total resection was achieved and the lesion was identified as being caused by D. hawaiiensis ; thus, intravenous antifungal treatment was given. Conclusion: Endoscopic surgery remains the preferred approach for disease control. Considering alternative treatments and exploring novel approaches are essential in managing complex pathologies in neurosurgical practice. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.)
Databáze:	MEDLINE
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