Korean J Otorhinolaryngol-Head Neck Surg.  2014 Jul;57(7):477-480. 10.3342/kjorl-hns.2014.57.7.477.

A Case of Chronic Invasive Fungal Sinusitis after Endoscopic Sinus Surgery for Chronic Rhinosinusitis

Affiliations
  • 1Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Busan, Korea. choks@pusan.ac.kr

Abstract

Chronic invasive fungal sinusitis is a relatively rare disease that can span from months to years in its clinical course and is described to be more common in immunocompetent patients. Most cases of chronic invasive fungal sinusitis are due to the Aspergillus species and have been treated with a combination of surgery and antifungal agents. However, the incidence is increasing with frequent use of antibiotics, cytotoxic drugs, and systemic corticosteroids. We report a case of chronic invasive fungal sinusitis with orbital complication in the patient who underwent endoscopic sinus surgery for chronic rhinosinusitis. Although chronic invasive fungal sinusitis is relatively rare, it is important for otolaryngologists to be aware of its diagnosis and treatment.

Keyword

Aspergillosis; Endoscopy; Fungi; Postoperative complications; Sinusitis
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