Sphenocavernous Syndrome Associated With Schizophyllum commune Infection of the Sphenoid Sinus
| Autor: | Carmelita U. Tuazon, Raul Mandler, Michael L. Roh, K J. Kwon-Chung, Craig Geist |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Antifungal Agents Sphenoid Sinus Biopsy medicine.medical_treatment Schizophyllum Cavernous sinus thrombosis Methylprednisolone law.invention Ptosis law Amphotericin B Orbital Diseases medicine Humans Glucocorticoids Sinus (anatomy) biology medicine.diagnostic_test Sphenoid Sinusitis business.industry Schizophyllum commune Immunosuppression Syndrome General Medicine Middle Aged Eye infection medicine.disease biology.organism_classification Magnetic Resonance Imaging Surgery Ophthalmology Treatment Outcome Gram staining medicine.anatomical_structure Mycoses Injections Intravenous medicine.symptom Tomography X-Ray Computed business Eye Infections Fungal |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 21:71-74 |
| ISSN: | 0740-9303 |
| DOI: | 10.1097/01.iop.0000148407.34784.6e |
| Popis: | A 47-year-old diabetic man with chronic renal failure presented with a 1-month history of complete ptosis of the left upper eyelid, left proptosis, and left-sided headache. During the course of the patient's care, other significant diagnoses were excluded, such as orbital inflammatory syndrome, carotid-cavernous syndrome, and cavernous sinus thrombosis. Neuroimaging revealed only minimal left sphenoid sinus disease. Sphenoid biopsy revealed the presence of septate hyphae on Gram staining and produced a fungal culture characteristic of Schizophyllum commune. Minimal sphenoid sinus infection in a patient with chronic medical issues and probable immunosuppression predisposed this patient to fungal rhino-orbital infection. Several weeks of intravenous liposomal amphotericin treatment on an outpatient basis yielded resolution of clinical symptoms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|