Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2018; 29(2):264-268

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2018.29.2.264

증례

진균구를 동반한 비정형적 만성 침습형 진균성 부비동염 1예

정영도¹, 김보문¹, 강병준¹, 신승헌¹^,^*

An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball

Young Do Jung¹, Bo Mun Kim¹, Byung Jun Kang¹, Seung Heon Shin¹^,^*

¹대구가톨릭대학교 의과대학 이비인후과학교실

¹Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu, Daegu, Korea

^*교신저자: 신승헌, 42472 대구광역시 남구 두류공원로 17길 33 대구가톨릭대학교 의과대학 이비인후-두경부외과학교실 전화: (053) 650-4071·전송: (053) 650-4533 E-mail:hsseung@cu.ac.kr

© Copyright 2018 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: Sep 13, 2018; Revised: Oct 26, 2018; Accepted: Nov 27, 2018

Published Online: May 31, 2020

ABSTRACT

Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion. (J Clinical Otolaryngol 2018;29:264-268)

Keywords: 침습형진균성부비동염; 아스페르길루스; 진균구

Keywords: Chronic invasive fungal sinusitis; Fungal ball; Osteomyelitis