Fungal Mucoceles of the Sphenoid Sinus

Lee, Jivianne T.; Bhuta, Sunita; Lufkin, Robert B.; Calcaterra, Thomas C.

doi:10.1097/00005537-200205000-00003

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Thomas [11] has cautioned against the use of morphological appearance alone in identifying a fungal organism as demonstrated in this case in which this dematiaceous (pigmented) hyphomycetes was non-pigmented in tissue sections. However, there are times when cultures do not reveal an organism despite the appearance of fungal elements seen on histology [15] and so it is probably prudent to submit tissue for both histology and culture.…”

Section: Discussionmentioning

confidence: 99%

Optic atrophy due to Curvularia lunata mucocoele

et al. 2007

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The authors report on the case of a 57-year-old male who presented with poor vision of his right eye. He had right optic nerve atrophy secondary to neural compression by a mucocoele in the pituitary fossa. The patient underwent transphenoidal resection of the mucocoele. Microbiology revealed Curvularia lunata and Enterobacter aerogenes present in the specimen. He was treated with liposomal Amphotericin B and meropenem. Assessment of vision post-operatively demonstrated improvement in his visual acuity. On reviewing the published literature, this case was found to be the first in which Curvularia had caused optic neuropathy. There have been only five previously documented reports of Curvularia causing CNS infections. This case demonstrates the importance of obtaining a tissue diagnosis together with appropriate surgical and medical management in the treatment of invasive fungal disease.

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Section: Discussionmentioning

confidence: 99%

Optic atrophy due to Curvularia lunata mucocoele

et al. 2007

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“…In immunocompetent patients, fungal sinus disease may fi rst be recognized as a slowly progressing extramucosal fungus ball and represents noninvasive disease [ 39 ]. Chronic extramucosal fungal sinusitis develops as a saprophytic growth in retained secretions in a sinus cavity.…”

Section: Chronic Fungal (Mycotic) Rhinosinusitis and Chronic Allergicmentioning

confidence: 99%

“…Therefore, depending on the protein content, a mucocele may be slightly or markedly hyperintense on T1W MR images. On MRI, chronic fungal rhinosinusitis (both fungal balls and allergic fungal rhinosinusitis) and fungal mucoceles demonstrate a low or intermediate signal on both T1W and T2W MRI images [ 39 ], with expansion of affected sinuses, as well as peripheral rim enhancement on enhanced MRI images. MRI may also demonstrate neoplastic or infl ammatory disease obstruction of the sinus ostium, the cause of mucocele formation.…”

Section: Imaging In the Diagnosis Of Mucocelesmentioning

confidence: 99%

Imaging of the Paranasal Sinuses: Plain-Film Radiography, Computed Tomography, and Magnetic Resonance Imaging

Mafee

Farid

Lim³

2014

Diseases of the Sinuses

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Leczenie inwazyjnej grzybicy zatok przynosowych – opis przypadku

Turecka

Mrówka-Kata

Czecior

et al. 2008

Otolaryngologia Polska

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The frequency of fungal etiology of sinusitis contains between 9 and 49 % according to different authors. Fungal rhinosinusitis has been divided into noninvasive and invasive forms. Noninvasive infections include fungus ball (mycetoma) and allergic fungal rhinosinusitis. Invasive infections include acute (or fulminates) fungal rhinosinusitis and invasive chronic rhinosinusitis. The case of chronic invasive rhinosinusitis was presented. Patient performed surgery--Functional Endoscopic Sinus Surgery and paranasal sinuses operation from subcranial approach. Surgery procedures were followed by antifungal pharmacotherapy (Orungal and Worykonazol). The presented case of fungal invasive chronic rhinosinusitis was treated according to recommended procedures with surgery followed by adequate antifungal farmacotherapy. In this case we have reached a successful outcome.

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Fungal Mucoceles of the Sphenoid Sinus

Abstract: When diagnosed early, functional endoscopic intranasal sphenoidotomy represents an effective mode of treatment for patients with fungal mucoceles of the sphenoid sinus, obviating the need for more aggressive surgical approaches.

Cited by 7 publications

References 19 publications

Optic atrophy due to Curvularia lunata mucocoele

Optic atrophy due to Curvularia lunata mucocoele

Imaging of the Paranasal Sinuses: Plain-Film Radiography, Computed Tomography, and Magnetic Resonance Imaging

Leczenie inwazyjnej grzybicy zatok przynosowych – opis przypadku

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