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Cushing's disease and sphenoidal aspergilloma
J Gondim1, A R Quidute, M Maciel
1Department of Neurosurgery, General Hospital of Fortaleza, Department of Endocrinology, Federal University of Ceará, Brazil. jagonndim@secrel.com.br
Acta Radiologica (Stockholm, Sweden : 1987)
|November 18, 2003
Summary
A rare case of isolated sphenoid sinus aspergillosis mimicked Cushing
Area of Science:
- Mycology
- Endocrinology
- Otolaryngology
Background:
- Cushing's disease is typically caused by pituitary adenomas.
- Sphenoid sinus aspergillosis is a rare fungal infection.
Observation:
- A 51-year-old patient presented with clinical and laboratory findings suggestive of Cushing's disease.
- No radiologically confirmed tumor was identified.
Findings:
- The patient was diagnosed with isolated sphenoid sinus aspergillosis.
- Complete recovery was achieved after treatment for the fungal infection.
Implications:
- Sphenoid sinus aspergillosis should be considered in the differential diagnosis of Cushing's disease, especially when tumors are not evident.
- Radiological evaluation and appropriate antifungal treatment are crucial for managing this condition.