Non-invasive fungal sinusitis resulting in multiple cranial nerve neuropathies.
Adult
Antifungal Agents
/ therapeutic use
Bone Diseases, Infectious
/ complications
Cranial Nerve Diseases
/ etiology
Fluconazole
/ therapeutic use
Humans
Magnetic Resonance Imaging
Male
Mycoses
/ complications
Osteitis
/ etiology
Schizophyllum
/ isolation & purification
Sinusitis
/ complications
Skull Base
/ diagnostic imaging
Tomography, X-Ray Computed
ear, nose and throat
ear, nose and throat/otolaryngology
otolaryngology / ENT
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
08 Apr 2019
08 Apr 2019
Historique:
entrez:
11
4
2019
pubmed:
11
4
2019
medline:
3
8
2019
Statut:
epublish
Résumé
A 33-year-old man presented to the emergency department with a right-sided facial paralysis and maxillary division (V2, trigeminal nerve) paraesthesia. He had been suffering with upper respiratory tract symptoms in the preceding 2 months, including rhinorrhoea, fever and headache. The patient was otherwise fit and immunocompetent. Urgent radiological investigation revealed extensive fungal sinusitis with sphenoid sinus dehiscence and skull base osteitis. The patient underwent emergency endoscopic sinus surgery revealing concretions and debris in the ethmoid and sphenoid sinuses. He was commenced on systemic antifungal therapy and made a full recovery with resolution of his cranial neuropathies. The fungus
Identifiants
pubmed: 30967452
pii: 12/4/e229094
doi: 10.1136/bcr-2018-229094
pmc: PMC6506037
pii:
doi:
Substances chimiques
Antifungal Agents
0
Fluconazole
8VZV102JFY
Types de publication
Journal Article
Case Reports
Langues
eng
Informations de copyright
© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
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