[Mycotic sinusitis. Contribution of x-ray computed tomography].
The authors present three cases of fungal sinusitis. Fungal sinusitis is a relatively rare disease that affects more commonly immunosuppressed and diabetic individuals. The radiographic signs are non-specific. Nevertheless, some CT findings are highly suspicious: unilateral lesions of one or more sinuses; nodular mucoperiosteal thickening, and, or focal areas of bone destruction; very dense, intrasinus concretions. Air-fluid levels are very uncommon, and when present suggest a nonfungal bacterial infection. In most cases, a combination of these findings suggests fungal disease. The clinical hallmark is chronic sinusitis that fails to respond to antibiotic therapy.
Pinto Leite
A
A
Instituto de Radiologia, Porto, Portugal.
Carlos Costa
J
J
Gouvêa
M
M
Pinto Leite
C
C
Portal
J
J
Oliveira
J
J
D000196:Actinomycosis / Q000000981:diagnostic imaging; D000368:Aged; D001228:Aspergillosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus; D009181:Mycoses / Q000000981:diagnostic imaging*; D010256:Paranasal Sinuses; D012852:Sinusitis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
Sinusites mycotiques. Apport de la tomodensitométrie.