Chronic invasive fungal sinusitis

Case contributed by Dr. Ekaterina Peshevich

Presentation

This young man was delivered to the emergency room to exclude skull fracture and intracranial haematoma. Complaints about nasal congestion. Clinical examination demonstrated exophthalmos and oedema of the right eye.

Patient Data

Age: 23 years
Gender: Male
Modality: CT

All parts of the paranasal sinuses are totally filled with non-uniform mass hyperdensive inclusions, extending into the cavity of the nasopharynx. The bone is thin walled with destruction of the posterior wall of the left frontal sinus, right lamna papyracea, posterior and lateral walls of the  sphenoid sinus. Abnormal soft-tissue density within the right orbital cavity. Possible formation of  epidural abscess in the frontal lobe. In the area of the right lacrimal gland fossa , there is a localized liquid mass, pushing m. rectus superior oculi.

Case Discussion

The findings are more likely to represent chronic invasive fungal  sinusitis with orbital cellulitis. 

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Case Information

rID: 50342
Case created: 31st Dec 2016
Last edited: 7th Jan 2017
System: Head & Neck
Inclusion in quiz mode: Included

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