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뇌기저부 골수염으로 진행된 만성 침습성 진균성 부비동염 1예

신승헌1, 최성용1, 이영호1,*
Seung-Heon Shin1, Sung-Yong Choi1, Young-Ho Lee1,*
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1대구가톨릭대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu, Daegu, Korea
*교신저자: 이영호, 705-718 대구광역시 남구 대명4동 3056-6 대구가톨릭대학교 의과대학 이비인후과학교실 전화: (053) 650-4535·전송: (053) 650-4533 E-mail: youngholee@cu.ac.kr

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Dec 11, 2009; Revised: Jan 08, 2010; Accepted: Feb 22, 2010

Published Online: May 31, 2020

ABSTRACT

Chronic invasive fungal sinusitis is a life-threatening disease, but encompasses a more unhurried progression of illness, in contrast with acute invasive fungal sinusitis. This case is a fungal sinusitis with skull base osteomyelitis and meningitis progressed from fungal ball past years. Fungal ball is easily treated by endoscopic sinus surgery and rarely progress to invasive type. If invasive fungal sinusitis is not timely diagnosed by histopathologic evidence of fungal hyphae, it makes clinicians embarrassing and face poor clinical course of patient like this case. It should be noted that chronic invasive fungal sinusitis may be developed from even fungal ball in a diabetes mellitus patient and may extend to skull base osteomyelitis and meningitis. (J Clinical Otolaryngol 2010;21:89-94)

Keywords: 진균성 부비동염; 골수염; 뇌막염
Keywords: Fungal sinusitis; Osteomyelitis; Meningitis