Sphenoid Sinus Fungus Ball by Filaments of Actinomycetes and Aspergillus fumigatus

Cardoso, Isabel Cristina Espíndola; Oliveira, Flávio de Mattos; Hochhegger, Bruno; Severo, Luiz Carlos

doi:10.1007/s11046-015-9867-4

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Based on three previously reported cases of coexisting actinomycosis and FB, the clinical and endoscopic findings were suggestive of chronic rhinosinusitis. However, in one case, a hard greyish-black mass was found on endoscopic examination [3][4][5]. On CT scans, actinomycosis is characterized by opacities in the involved sinus, bony sclerosis of the sinus wall, and calcifications, which are similar to the findings of FB [1,2,4,6,8].…”

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confidence: 75%

“…Fungal ball (FB) is the most common category of noninvasive fungal rhinosinusitis and the most common form of unilateral chronic rhinosinusitis [2]. To our knowledge, actinomycosis and FB rarely coexist in the PNS with only three reported English cases [3][4][5]. The clinical manifestations and radiologic findings of actinomycosis and FB are similar [1,2,4,6], so it is difficult to differentiate actinomycosis from FB without a histopathological examination.…”

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confidence: 99%

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Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report

et al. 2022

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Actinomycosis is rarely accompanied by fungus balls. It is difficult to distinguish between actinomycosis and a fungus ball due to their similar clinical and computed tomography scan results. Thus, a meticulous histopathological examination is required for definite diagnosis. We report a case of actinomycosis accompanied by a fungus ball, found incidentally in a patient without rhinologic symptoms. The patient was successfully treated with endoscopic sinus surgery, followed by short-term antibiotic therapy. We suggest that shortterm antibiotic therapy may be more appropriate than long-term antibiotic therapy based on our case study as well as several other studies.

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confidence: 75%

Section: Introductionmentioning

confidence: 99%

Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report

et al. 2022

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Actinomyces Acute Rhinosinusitis Complicated by Subperiosteal Abscess in an Immunocompromised 12-Year-Old: Case Report and Literature Review

Nimmagadda

Man

Benoit

et al. 2022

Case Reports in Otolaryngology

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Objective. To describe a rare case of pediatric actinomycotic rhinosinusitis with orbital subperiosteal abscess and review the current literature to assess methods of diagnosis, treatment modalities, and outcomes with appropriate treatment. Methods. A case report and a review of the literature. Results. A 12-year-old patient with Crohn’s disease on infliximab presented with rhinosinusitis with orbital subperiosteal abscess formation. Endoscopic sinus surgery was performed and cultures grew actinomyces. A prolonged course of antibiotics was started, resulting in the complete resolution of the infection. In a literature review, all cases of uncomplicated and complicated actinomyces rhinosinusitis managed with appropriate surgery and prolonged antibiotics resulted in a cure. Our case is the first reported in a pediatric patient and the first taking immunosuppressive medication. Overall, only 3 cases of actinomyces rhinosinusitis in immunosuppressed individuals have been reported, each with uncontrolled diabetes and each also responded well to surgery and appropriate antibiotics. Conclusion. Actinomycosis of the paranasal sinuses poses a diagnostic challenge, with infections varying widely in presentation and extent of disease. A high index of suspicion, appropriate testing, and early aggressive treatment are critical in managing patients with this infection. Our case and prior published studies show that actinomyces rhinosinusitis can be successfully managed with endoscopic sinus surgery, abscess drainage as necessary, and a prolonged course of antibiotics, even in immunocompromised and pediatric populations.

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Two Cases of Actinomycosis with Aspergillosis in Unilateral Paranasal Sinuses

et al. 2019

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Actinomycosis of paranasal sinus is a very rare disease that is caused by infection of Actinomyces species that were present in oral or nasal flora due to trauma or dental treatment. Actinomycosis shows a local calcified lesion associated with soft tissue density on computed tomography, which is similar to fungal sinusitis. Actinomycosis associated with fungal ball due to Aspergillus affecting sinus ventilation has been rarely reported. We experienced two cases of actinomycosis associated with fungal ball and successfully treated with endoscopic sinus surgery and oral antibiotics for 3 months without recurrence.

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Sphenoid Sinus Fungus Ball by Filaments of Actinomycetes and Aspergillus fumigatus

Abstract: We present a case of sphenoid sinus fungus ball caused by Aspergillus fumigatus associated with actinomycosis. This case represents the first known reported infection caused by this rare association.

Cited by 3 publications

References 9 publications

Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report

Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report

Actinomyces Acute Rhinosinusitis Complicated by Subperiosteal Abscess in an Immunocompromised 12-Year-Old: Case Report and Literature Review

Two Cases of Actinomycosis with Aspergillosis in Unilateral Paranasal Sinuses

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