접형동에 국한된 세균성 부비동염으로 오인된 알레르기성 진균성 부비동염 1예
A Case of Allergic Fungal Sinusitis Misdiagnosed as Isolated Bacterial Sphenoiditis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Allergic fungal sinusitis is clinicopathologically defined as a benign, noninvasive variety of fungal infection. The most common involving sinus in the allergic fungal sinusitis is the maxillary sinus, followed by ethmoid sinus. On the other hand, sphenoid sinus is only occasionally affected. Solitary involvement of the sphenoid sinus is a relatively uncommon variety. Because of the anatomical location of the sphenoid sinus, the nasal airflow to be directed below the ostium, few bacteria or inhaled irritants are carried to the sinus. The most common presenting symptom is headache, which is not specific. Therefore once sphenoid sinus is encountered disease entity, it is often difficult to clinically establish the correct diagnosis. We present a case of allergic fungal sinusitis misdiagnosed as isolated bacterial sphenoiditis which were successfully treated with transnasal endoscopic sphenoidotomy followed by systemic and topical steroids and saline irrigation.
Abstract
Allergic fungal sinusitis is clinicopathologically defined as a benign, noninvasive variety of fungal infection. The most common involving sinus in the allergic fungal sinusitis is the maxillary sinus, followed by ethmoid sinus. On the other hand, sphenoid sinus is only occasionally affected. Solitary involvement of the sphenoid sinus is a relatively uncommon variety. Because of the anatomical location of the sphenoid sinus, the nasal airflow to be directed below the ostium, few bacteria or inhaled irritants are carried to the sinus. The most common presenting symptom is headache, which is not specific. Therefore once sphenoid sinus is encountered disease entity, it is often difficult to clinically establish the correct diagnosis. We present a case of allergic fungal sinusitis misdiagnosed as isolated bacterial sphenoiditis which were successfully treated with transnasal endoscopic sphenoidotomy followed by systemic and topical steroids and saline irrigation.
참고문헌 (18)
- Alazzawi S, "Isolated sphenoid sinus lesion: a diagnostic dilemma", Qatar Med J, 2014(1), pp.57~60 (2014)
- Grillone GA, "Isolated sphenoid sinus disease", Otolaryngol Clin North Am, 37(2), pp.435~451 (2004)
- Nour YA, "Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities", Auris Nasus Larynx, 35(4), pp.500~508 (2008)
- Sethi DS., "Isolated sphenoid lesions: diagnosis and management", Otolaryngol Head Neck Surg, 120(5), pp.730~736 (1999)
- 김시환, "고립성 접형동 질환：56예의 임상적 고찰", 대한이비인후과학회지 두경부외과학, 48(4), pp.471~475 (2005), 대한이비인후과학회
- 이정래, "접형동에 국한된 병변：17 증례의 임상적 고찰", 대한이비인후과학회지 두경부외과학, 45(3), pp.249~253 (2002), 대한이비인후과학회
- Kwon MO, "Headache induced by isolated sphenoid fungal sinusitis: sinus headache?", J Headache Pain, 10(6), pp.473~476 (2009)
- Manjula BV, "Isolated sphenoid sinus disease-a retrospective analysis", Indian J Otolaryngol Head Neck Surg, 62(1), pp.69~74 (2010)
- Cakmak O, "Isolated sphenoid sinus lesions", Am J Rhinol, 14(1), pp.13~19 (2000)
- Ng YH, "Isolated sphenoid sinus disease: differential diagnosis and management", Curr Opin Otolaryngol Head Neck Surg, 19(1), pp.16~20 (2011)
- Katzenstein AA, "Allergic aspergillus sinusitis: a newly recognized form of sinusitis", J Allergy Clin Immunol, 72(1), pp.89~93 (1983)
- Chrzanowski RR, "Allergenic fungi in allergic fungal sinusitis", Annal Allergy Asthma Immunol, 79(5), pp.431~435 (1997)
- Kupferberg SB, "Prognosis for allergic fungal sinusitis", Otolaryngol Head Neck Surg, 117(1), pp.35~41 (1997)
- DeShazo RD, "Criteria for the diagnosis of sinus mycetoma", J Allergy Clin Immunol, 99(4), pp.475~485 (1997)
- Mabry RL, "Immunotherapy in the treatment of allergic fungal sinusitis", Otolarygol Head Neck Surg, 116(1), pp.31~35 (1997)
- Mabry RL, "Immunotherapy for allergic fungal sinusitis: the second year", Otolaryngol Head Neck Surg, 117, pp.367~371 (1997)
- Ferguson BJ, "What role do systemic corticosteroids, immunotherapy, and antifungal drugs play in the therapy of allergic fungal rhinosnusitis?", Arch Otolaryngol Head Neck Surg, 124(10), pp.1174~1177 (1998)
- Chon KM, "Clinical analysis of fungal sinusitis", J Clinical Otolaryngol, 11(2), pp.286~292 (2000)