A Case of Allergic Fungal Rhinosinusitis with Concurrently Occuring Fungus Ball.
- Author:
Ki Ryun KWON
1
;
Ji Soo PARK
;
Sung Jae PARK
;
Ki Sang RHA
;
Yong Min KIM
Author Information
- Publication Type:Case Report
- Keywords: Mycetoma; Sinusitis; Aspergillosis
- MeSH: Antigens, Fungal; Aspergillosis; Asthma; Eosinophils; Female; Fungi*; Humans; Immunoglobulin E; Maxillary Sinus; Middle Aged; Mucins; Mycetoma; Nasal Obstruction; Nasal Polyps; Paranasal Sinuses; Sinusitis
- From:Journal of Rhinology 2015;22(1):47-50
- CountryRepublic of Korea
- Language:Korean
- Abstract: Allergic fungal rhinosinusitis (AFRS) is a noninvasive fungal infection of the paranasal sinuses that are usually seen in young immunocompetent patients with atopy and/or asthma. Fungus balls can grow in moist cavities of the paranasal sinuses of a host with normal immunologic status. Cases of AFRS with concurrent fungus balls is very rare. We present a case of a patient who had AFRS on one side of the paranasal sinus and allergic fungal sinusitis on the other side. A 51-year-old female with atopy presented with a few-year history of nasal obstruction and rhinorrhea, as well as a history of high-dose systemic steroid therapy. The patient had nasal polyps and showed an elevated level of total IgE and positive MAST to fungal antigens. Endoscopic sinus surgery was performed. Allergic mucin from the right maxillary sinus contained sheets of eosinophils and Charcot-Leyden crystals. Also, a clay-like dark brown material from the left maxillary sinus was revealed to be a fungus ball.
