Korean J Med Mycol.  2011 Sep;16(3):109-112.

A Case of Fungal Sphenoid Sinusitis with Visual Loss

• Lee JH
• Hong YH
• Mun SK

Abstract

The maxillary sinus is the most commonly affected in the fungal infection of the sinus, but sphenoid sinus is only occasionally occurred. Because of the adjacent structures in sphenoid sinus, however, its complication may cause fatal outcome. Visual loss due to optic neuritis, which is defined as an inflammatory neuropathy of the optic nerve, is extremely rare, which may occur via direct spread of fungus. We experienced a case of fungal sphenoid sinusitis, which damaged the optic nerve and led to visual loss in a 74 year-old male. It was treated by endoscopic sinus surgery with steroid therapy. We present this case with a brief review of these disease's entities.

Keyword

Optic neuritis; Fungal sinusitis

MeSH Terms

Fatal Outcome
Fungi
Humans
Male
Maxillary Sinus
Optic Nerve
Optic Neuritis
Sphenoid Sinus
Sphenoid Sinusitis