Chronic invasive fungal sinusitis with mycetoma

Case contributed by Dr Chris O'Donnell

Presentation

5 months of "sinusitis" refractory to antibiotics and nasal steroids.

Patient Data

Age: 70
Gender: Female

Soft tissue mass in left maxillary antrum with central calcification and expansion of the ostium into the nasal cavity

T2 hypointense mass (representing fungal material with high proteinaceous content) in left antrum with surrounding mucosal thickeneing expanding the antrum into the left nasal cavity

 

Case Discussion

Expansile left maxillary antrum with calcification centrally on CT enlarging the ostium.  T2 hypointensity centrally consistent with proteinaceous material and peripheral enhacement.  This combination is indicative of chroic fungal sinusitis with mycetoma.  Ostium is expanded not eroded as might be expected with invasive fungal disease

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Case Information

rID: 27430
Case created: 3rd Feb 2014
Last edited: 4th Oct 2015
System: Head & Neck
Inclusion in quiz mode: Included

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