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A Rare Case of Fungal Rhinosinusitis Caused by Scedosporium apiopermum
Paresh P Naik1, Kiranmai Bhatt2, Emma C Richards2
1University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. pareshnaikp@gmail.com.
Abstract:
Fungal rhinosinusitis (FRS) is inflammation of the paranasal sinus mucosa due to fungal infections, which can be invasive or non-invasive. The occurrence of a sphenoid mucocele with a fungal ball is rare. We report a case of sphenoid sinus mucocele with a fungal ball caused by Scedosporium apiopermum in a 32-year-old female who presented to the Emergency Department with persistent headache not relieved on medications. The radiological images showed a mucocele with clival osteomyelitis. Urgent endoscopic examination and debridement was undertaken which demonstrated a mucocele with fungal ball. Microbiological examination confirmed it to be Scedosporium apiopermum.
Insights
A rare case of fungal rhinosinusitis (FRS) involved a sphenoid sinus mucocele with a fungal ball. This fungal ball was caused by Scedosporium apiopermum, leading to clival osteomyelitis.
Area of Science:
- Otolaryngology
- Mycology
- Infectious Diseases
Background:
- Fungal rhinosinusitis (FRS) is sinus inflammation from fungal infections, presenting invasively or non-invasively.
- Sphenoid sinus muceles with fungal balls are uncommon occurrences.
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Fungal Group Zygomycota
Fungal Phylum Microsporidia
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Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...