Allergic Fungal Sinusitis Involving the Lacrimal Sac: A Case Report and Review

Orbit ◽  
2014 ◽  
Vol 33 (4) ◽  
pp. 311-313 ◽  
Author(s):  
Kristina Y. Pao ◽  
Vladimir Yakopson ◽  
Joseph C. Flanagan ◽  
Ralph C. Eagle
Keyword(s):  
Case Report ◽  
Fungal Sinusitis ◽  
Lacrimal Sac ◽  
Allergic Fungal Sinusitis

scholarly journals Allergic Fungal Sinusitis with Intracranial Extension and Frontal Lobe Symptoms: A Case Report

1994 ◽  
Vol 73 (6) ◽  
pp. 402-404 ◽  
Author(s):  
William M. Lydiatt ◽  
Anne Sobba-Higley ◽  
James V. Huerter ◽  
Lyal G. Leibrock
Keyword(s):  
Case Report ◽  
Brain Injury ◽  
Frontal Lobe ◽  
Surgical Approach ◽  
Cerebral Spinal Fluid ◽  
Intracranial Extension ◽  
Fungal Sinusitis ◽  
Dural Defect ◽  
Allergic Fungal Sinusitis ◽  
Bony Destruction

This is the first report of AFS which caused frontal lobe symptomatology and which resolved with surgical therapy. The surgical approach used provided excellent exposure and the sinuses could be examined and thoroughly cleaned both from above and intranasally. The dural defect, which resulted from the destruction of the cribiform and fovea ethmoidalis, was easily reconstructed with a pericranial flap. This exposure facilitates debridement and reconstruction while minimizing complications such as cerebral spinal fluid leakage or brain injury which may occur with endoscopic manipulations in patients with bony destruction and loss of normal landmarks.

scholarly journals A Case Report of Allergic Fungal Sinusitis Caused by Penicillium sp. and Cladosporium sp.

2001 ◽  
Vol 104 (12) ◽  
pp. 1147-1150 ◽  
Author(s):  
Yoshinori Matsuwaki ◽  
Tsuneya Nakajima ◽  
Makoto Iida ◽  
Osamu Nohara ◽  
Shinniti Haruna ◽  
...  
Keyword(s):  
Case Report ◽  
Fungal Sinusitis ◽  
Allergic Fungal Sinusitis ◽  
Penicillium Sp

scholarly journals Unilateral Exserohilum Allergic Fungal Sinusitis in a Pediatric Host: Case Report

2020 ◽  
Vol 77 ◽  
pp. 698-700
Author(s):  
Arwa A. Al Muslat ◽  
Basmah M. Alghmdi ◽  
Abdullah J. AlShehri ◽  
Rakan A. Alhaidey ◽  
M. Anas Dababo ◽  
...  
Keyword(s):  
Case Report ◽  
Fungal Sinusitis ◽  
Allergic Fungal Sinusitis

scholarly journals The Woes of a Stuffy Nose: A Case Report of Allergic Fungal Sinusitis

2020 ◽  
Vol 4 (4) ◽  
pp. 569-571
Author(s):  
Tyler Lopachin ◽  
Grace Landers
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Surgical Treatment ◽  
Chief Complaint ◽  
Physical Exam ◽  
Fungal Sinusitis ◽  
Allergic Fungal Sinusitis ◽  
Stuffy Nose

Introduction: Allergic fungal sinusitis (AFS) is a relatively uncommon cause of sinus pain and congestion. Extreme cases may require specialty evaluation and surgical treatment. Case Report: In this case, an otherwise healthy young man presented to the emergency department with sinus pain and congestion for two weeks and was admitted to surgery for resection of his AFS. Conclusion: This case demonstrates how a thorough history and physical exam can help catch potentially serious diseases, such as allergic fungal sinusitis, from the frequently benign chief complaint of sinus pain.

scholarly journals Novel Treatment of Allergic Fungal Sinusitis Using Omalizumab

2014 ◽  
Vol 5 (3) ◽  
pp. ar.2014.5.0098 ◽  
Author(s):  
Martin Oman Evans ◽  
Christopher Albert Coop
Keyword(s):  
Case Report ◽  
T Cell ◽  
Chronic Rhinosinusitis ◽  
Total Serum ◽  
Fungal Sinusitis ◽  
Allergic Fungal Sinusitis ◽  
Novel Treatment ◽  
Fungal Allergens ◽  
Systemic Corticosteroids

A case report of recalcitrant allergic fungal sinusitis (AFS) refractory to systemic corticosteroids and multiple functional endoscopic sinus surgeries (FESSs) treated with anti-IgE antibody omalizumab is reported. AFS is often classified with chronic rhinosinusitis (CRS). Although similar symptoms are among the two diseases, AFS has a unique pathophysiology. Patients with AFS demonstrate type 1 hypersensitivity to fungal allergens, increased total serum IgE, increased CD8+ T-cell prevalence, and IL-4 and IL-5 response. Omalizumab should be considered in the treatment of AFS.

scholarly journals Extramedullary Hematopoiesis in the Sinonasal Cavity: A Case Report and Review of the Literature

2020 ◽  
Vol 11 ◽  
pp. 215265672091887
Author(s):  
Carly A. Clark ◽  
Cameron P. Worden ◽  
Brian D. Thorp ◽  
Charles S. Ebert ◽  
Adam M. Zanation ◽  
...  
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Extramedullary Hematopoiesis ◽  
Endoscopic Biopsy ◽  
Sinus Surgery ◽  
Common Finding ◽  
Beta Thalassemia ◽  
Fungal Sinusitis ◽  
Hematopoietic Tissue ◽  
Allergic Fungal Sinusitis

Background Extramedullary hematopoiesis (EMH) occurs in patients with hematologic disorders, but rarely within the paranasal sinuses. We report a case of EMH in a 17-year-old male with sickle cell disease (SCD) who presented with occipital pain and sinusitis. A computed tomography (CT) scan demonstrated heterogeneous opacification of the right maxillary sinus concerning for allergic fungal sinusitis or a fungal ball with bony erosion. He was taken to the operating room for endoscopic biopsy and a limited endoscopic sinus surgery. Grossly, his maxillary sinus was filled with spiculated osseous tissue. Final pathology demonstrated active hematopoietic bone marrow filling the sinus. Methods We present a case report and literature review of sinonasal EMH. Results We identified 14 articles with 15 patients. EMH was typically associated with SCD or beta thalassemia. The average age of presentation was 30. There was a male sex predilection with a ratio of 11:15. The most common presenting symptom was a headache and nasal obstruction (33% for both). The most common finding on CT was a soft tissue expansile mass (73%). The most commonly affected location was the maxillary sinus (60%). Conclusions This case report serves as a reminder to consider EMH as an uncommon cause of sinus opacification, particularly in patients with SCD or beta thalassemia. The expansion of hematopoietic tissue may be identified as a sinus mass on CT. By recognizing the potential manifestations of chronic anemia, an accurate and timely diagnosis can be made.

Sign in / Sign up

Export Citation Format

Share Document