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Fungal nasal septum abscess caused by Aspergillus flavus complicating sinonasal surgery

Youssef Rochdi1, Youness Labani1, Omar Oulghoul1

  • 1ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco.

The Pan African Medical Journal
|March 12, 2021
PubMed

Insights

Fungal nasal septum abscess, a rare invasive fungal rhinosinusitis, was identified in a diabetic patient post-sinonasal surgery. Treatment with antifungals and drainage led to full recovery without recurrence.

Area of Science:

  • Otolaryngology
  • Mycology
  • Infectious Diseases

Background:

  • Fungal rhinosinusitis presents various forms, with fungal nasal septum abscess being a rare localized invasive manifestation.
  • Sinonasal surgery, particularly in patients with comorbidities, can present risks for opportunistic infections.

Observation:

  • A case of fungal nasal septum abscess caused by Aspergillus flavus is presented in a 53-year-old female with uncontrolled type 2 diabetes and asthma.
  • The abscess developed post-endoscopic sinonasal surgery for nasal polyposis.

Findings:

  • Pus cultures confirmed Aspergillus flavus infection.
  • The patient received a combination of antifungal medication and surgical drainage.
  • Complete clinical and biological recovery was achieved, with no recurrence over an 18-month follow-up period.

Implications:

  • This case highlights the importance of considering fungal nasal septum abscess in non-responsive cases, especially in immunocompromised patients.
  • Early diagnosis and appropriate treatment combining antifungal therapy and surgical intervention are crucial for successful outcomes.
  • Risk factors such as diabetes and recent sinonasal surgery warrant increased vigilance for fungal infections.
Keywords:
Aspergillus flavusFungalendoscopic surgerynasal septum abscess

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