A Case of Invasive Fungal Sinusitis Accompanied with Inflammatory Pseudotumor in Skull Base.
- Author:
Seung Sin LEE
1
;
Ji Yeon SON
;
Ja Hyun LEE
;
Ok Kyung KIM
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University College of Medicine, Seoul, Korea. seungsin2@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Skull base;
Osteomyelitis;
Inflammatory pseudotumor;
Invasive fungal sinusitis;
Amphotericin
- MeSH:
Amphotericin B;
Ear;
Granuloma, Plasma Cell*;
Headache;
Humans;
Inflammation;
Occipital Bone;
Osteomyelitis;
Otitis Externa;
Sinusitis*;
Skull Base*;
Skull*;
Spine
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(9):1173-1176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Skull base osteomyelitis typically arises as a complication of ear infection in older diabetic patients, but atypical skull base osteomyelitis arising from the sphenoid or occipital bones without external otitis can occur much less frequently and initially may present headache as the only symptom. Inflammatory pseudotumor is an idiopathic condition characterized by the sclerosing inflammation, which mimicks a neoplastic process. Inflammatory pseudotumor involving skull base and cervical spine is distinctly rare and usually indistinguishable from aggressive neoplasms or infection at these area. We report a case which was confirmed histologcally as invasive fungal sinusitis accompanied with inflammatory pseudotumor: the treatment consisted of amphotericin B and systemic steroid therapy but ended in a failure.
