Isolated sphenoid fungal sinusitis – a case report

Česká verzia

Authors: M. Debnárová ¹ ; J. Mičaník ² ; M. Masárová ^1,3 ; M. Plášek ^1,3 ; P. Matoušek ^1,3 ; Pavel Komínek ^1,3
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Ostrava ¹; Radiodia gnostický ústav, FN Ostrava ²; Katedra kraniofaciálních oborů, LF OU v Ostravě ³
Published in the journal: Otorinolaryngol Foniatr, 71, 2022, No. 3, pp. 169-171.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl2022169

Summary

Isolated sphenoid fungal sinusitis is a relatively rare disease with non-specific symptoms. The most common symptom is headache and the typical symptoms of sinusitis may be completely absent. A CT examination with specific radiological signs plays an important role in the diagnostic process but the definitive diagnosis is determined by a histological examination. Due to the location of the sphenoid sinus, in some cases, the delayed diagnosis may cause serious consequences. The article presents a case report of a patient with isolated mycotic inflammation of the sphenoid sinus. The aim of the article is to point out the non-specific symptoms of the disease and the typical radiological signs that can help us in the diagnostics.

Keywords:

headache – sphenoid sinus – mycotic inflammation

Zdroje

1. Čelakovský P, Vokurka J, Laco J et al. Invazivní mykotické sinusitidy. Cesk Slov Neurol N 2011; 107(2): 163–167.

2. Lim HS, Yoon YH, Xu J et al. Isolated sphenoid sinus fungus ball: a retrospective study conducted at a tertiary care referral center in Korea. Eur Arch Otorhinolaryngol 2017; 274: 2453–2459. Doi: 10.1007/ s00405-017-44 68-0.

3. Schalek P et al. Rinosinusitidy. Praha: Mladá fronta 2016.

4. Jung JH, Cho GS, Chung YS et al. Clinical characteristics and outcome in patients with isolated sphenoid sinus aspergilloma. Auris Nasus Larynx 2013; 40(2): 189–193. Doi: 10.1016/ j. anl.2012.07.008.

5. Leroux E, Valade D, Guichard JP et al. Sphenoid Fungus Balls: Clinical Presentation and Long-Term Follow-Up in 24 Patients. Cephalalgia 2009; 29(11): 1218–1223. Doi: 10.1111/ j.1468-2982.2009.01850.x.

6. Schalek VP, Hahn A, Kalvach P. Izolovaná sfenoiditida – možná příčina bolesti hlavy a závažných komplikací. Cesk Slov Neurol 2012; 75(4): 477–479.

7. Nour YA, Al-Madani A, El-Daly A et al. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx 2008; 35(4): 500–508. Doi: 10.1016/ j. anl.2007.10.011.

8. Janíčková J, Uhrík M, Mikolášek P et al. Akutní izolovaný zánět klínové dutiny v dětském věku, Otorinolaryngol Foniatr 2018; 67(1): 24–27.

9. Charakorn N, Snidvongs K. Chronic sphenoid rhinosinusitis: management challenge. J Asthma Allergy 2016; 9: 199–205. Doi: 10.2147/ JAA. S93023.

10. Marcolini TR, Safraider MC, Socher JA et al. Diff erential diagnosis and treatment of isolated pathologies of the sphenoid sinus: retrospective study of 46 cases. Int Arch Otorhinolaryngol 2015; 19(2): 124–129. Doi: 10.15406/ joentr.2016.04.00108.

11. Popolizio T, Perri M, Balzano RF et al. Isolated fungus ball in sphenoid sinus: tips and pitfalls of T1 hyperintense lesions. BJR Case Rep 2018; 4(2): 20170081. Doi: 10.1259/ bjrcr.20170081.

12. Bowman J, Panizza B, Gandhi M. Sphenoid sinus fungal balls. Ann Otol Rhinol Laryngol 2007; 116(7): 514–519. Doi: 10.1177/ 000 348940711600706.