Cavernous Sinus Thrombosis Caused by Aspergillus.
- Author:
Hyung Jin KOO
1
;
Kyung In WOO
;
Yoon Duck KIM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Aspergillus;
Cavernous sinus thrombosis;
Sphenoid sinusitis
- MeSH:
Amphotericin B;
Aspergillus*;
Carotid Artery, Internal;
Cavernous Sinus Thrombosis*;
Cavernous Sinus*;
Exophthalmos;
Female;
Follow-Up Studies;
Headache;
Humans;
Middle Aged;
Orbit;
Rare Diseases;
Recurrence;
Respiratory System;
Sinusitis;
Soil;
Sphenoid Sinus;
Sphenoid Sinusitis
- From:Journal of the Korean Ophthalmological Society
1997;38(6):1077-1083
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aspergillus is usually found in the human upper respiratory tract, or soil, and causes sinusitis for the immunocompromised or immunocompetent hosts. Sometimes it extends to the cavernous sinus, internal carotid artery or the orbit and results in severe complications. We diagnosed cavernous sinus thrombosis and sphenoid sinusitis by Aspergillus in a 58-year-old woman who visited our clinic for headache, left eyeball pain, and proptosis. We treated the patient with endoscopic ethmoidectomy, sphenoidectomy and antifungal therapy with Amphotericin B. During one year of follow-up, we found no evidence of recurrence. Cavernous sinus thrombosis by Aspergillus is a rare disease, and can be treated successfully without recurrence with early diagonosis and vigorous treatment.
