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Inicio Acta Otorrinolaringológica Española Sphenoid sinusitis with intracranial extension produced by an emergent fungus
Journal Information
Vol. 62. Issue 2.
Pages 158-160 (January 2011)
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Vol. 62. Issue 2.
Pages 158-160 (January 2011)
Clinical report
Sphenoid sinusitis with intracranial extension produced by an emergent fungus
Sinupatia esfenoidal con extensión intracraneal causada por un hongo emergente
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Yolanda Escamilla Carpinteroa,
Corresponding author
yescamilla@telefonica.net

Corresponding author.
, Mateu Espasa Soleyb, M. Rosa Bella Cuetoc, Mario Prenafeta Morenod
a Servicio de ORL, Corporación Sanitaria y Universitaria del Parc Taulí Sabadell, Barcelona, Spain
b UDIAT, Laboratorio de Microbiología, Corporación Sanitaria y Universitaria del Parc Taulí, Sabadell, Barcelona, Spain
c Servicio de Anatomía Patológica, Corporación Sanitaria y Universitaria del Parc Taulí, Sabadell, Spain
d Servicio de Radiodiagnóstico, Corporación Sanitaria y Universitaria del Parc Taulí, Sabadell, Spain
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Abstract

This is a case of fungal sphenoid sinusitis in a diabetic patient with non-specific symptoms and bone erosion radiological findings in the superior and posterior sphenoid walls. Surgical treatment was performed by transnasal endoscopic approach and voriconazole orally thereafter.

The histopathological study found fungus hyphal without mucosa invasion and the molecular study determined DNA to be Phialemonium curvatum, an unusual pathogen.

Keywords:
Fungal sphenoid sinusitis
Sphenoid sinus surgery
Mycetoma
Phialemonium
Resumen

Sinusitis fúngica esfenoidal en paciente diabética, con clínica inespecífica y signos de erosión ósea radiológica a nivel sellar superior y retroclival. Tratada quirúrgicamente por abordaje endoscópico transnasal y voriconazol oral. La histología mostró hifas, descartando invasión mucosa y el estudio molecular detectó ADN de Phialemonium curvatum, un inusual patógeno.

Palabras clave:
Sinusitis fúngica esfenoidal
Cirugía endoscópica
Micetoma
Phialemonium

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