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Two cases of Aspergillus sinusitis with bone destruction
Satoshi Miyabe1, Izumi Koizuka, Kentaro Ochi
1Department of Otolaryngology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, 216-8511, Kawasaki city, Japan. s2miyabe@marianna-u.ac.jp
Auris, Nasus, Larynx
|January 25, 2003
Summary
Destructive Aspergillus in paranasal sinuses can cause bone destruction. Early surgery and antifungal drugs are recommended for better outcomes in invasive fungal sinusitis cases.
Area of Science:
- Otolaryngology
- Mycology
- Infectious Diseases
Background:
- Fungal sinusitis, particularly invasive forms, poses significant clinical challenges.
- Aspergillus species are common pathogens in fungal sinusitis, leading to destructive disease.
Observation:
- Two cases of destructive paranasal sinus Aspergillus infections with fungus ball formation and bony destruction were observed.
- One patient with incomplete surgical removal and concurrent diabetes experienced an unfavorable prognosis.
Findings:
- Complete surgical removal of the Aspergillus nidus is crucial for favorable outcomes.
- Aggressive antifungal therapy is essential in managing destructive Aspergillus sinusitis.
Implications:
- Prompt and comprehensive surgical intervention, combined with adequate antifungal treatment, is vital for treating destructive Aspergillus sinusitis.
- Co-morbidities like diabetes may negatively impact treatment success and prognosis in these infections.