Maxillary Sinus Mycetoma Due to Aspergillosis: Case Report



Meidani M¹ ; Abtahi H² ; Afsharmoghadam N³ ; Ahmadi N⁴ ; Rikhtegar MH⁵ ; Rikhtegar MJ⁵ Show Affiliations
Source: Journal of Isfahan Medical School Published:2011

Abstract

Background: Paranasal sinus aspergilloma is a rare disease of sinus which is sometimes considered as mycetoma. In this condition, there is gathering of fungal mycelium in sinus cavity without bone or vessels invasion. It presented as a chronic sinusitis with headache nasal discharge and obstruction. Diagnosis of aspergillosis infection has often dependent on clinical judgment combined with radiologic evaluation and demonstration of the fungus in tissue specimens obtained from the presumed site of infection. Case Report: A 53-year-old man with uncontrolled insulin dependent diabetes mellitus presented with six month history of headache. He had used various drug prescribed by different physicians in the past six months without any effect. Because of progressive headache, he was admitted in the department of otolaringology and surgical debridement was done. Histopathological examination was suggestive of maxillary sinusitis with fungal ball of aspergilluma. The patient treated with itraconazole and after 6 months, he felt better with no clinical and paraclinical signs. Conclusion: Since fungal sinusitis presentation is similar to chronic sinusitis and in the other hand, the incidence of aspergillosis is increasing, the early diagnosis and treatment is important especially when the clinical and paraclinical signs are suggestive.