Chronic invasive fungal sinusitis mimicking pseudotumor: A case report
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Published on: January 17, 2018
Coumba Gueye1, Ibrahima Niang2, Elhadji A Gueye3
1Radiology department, Hospital Mame Abdou Aziz SY, Tivaouane, Senegal.
Abstract:
Fungal sinusitis encompasses a wide range of diseases, including both invasive and noninvasive, acute, and chronic forms. The incidence of invasive sinusitis is on the rise, primarily affecting immunocompromised individuals and diabetics. This case report highlights a patient who developed invasive fungal sinusitis despite no other apparent cause of immunosuppression. Imaging studies suggested the diagnosis, confirmed by presence of Aspergillus flavus on mycological culture.
Insights
Invasive fungal sinusitis is increasing, especially in immunocompromised patients. This case shows invasive fungal sinusitis can occur without obvious immunosuppression, highlighting the need for vigilance.
Area of Science:
- Mycology
- Infectious Diseases
- Otolaryngology
Background:
- Fungal sinusitis presents in various forms, including invasive and non-invasive, acute and chronic.
- Invasive fungal sinusitis incidence is rising, particularly in immunocompromised individuals and those with diabetes.
Observation:
- This case report details a patient who developed invasive fungal sinusitis.
- The patient had no other apparent risk factors for immunosuppression.
Findings:
- Imaging studies indicated invasive fungal sinusitis.
- Diagnosis was confirmed by the identification of Aspergillus flavus via mycological culture.
Implications:
- This case underscores that invasive fungal sinusitis can manifest in individuals without clear immunosuppression.
- Highlights the importance of considering fungal infections in sinusitis diagnosis, even in seemingly low-risk patients.

