title: [Penicillinosis of the paranasal sinuses].
abstract: A 29-year old female patient suffering from severe pain in her right eye, headache, ophthalmoplegia and ptosis of the right eye, total roentgenological opacity of the right maxillary sinus and ethmoidal cells , as well as signs of bone destruction in the orbital floor, was operated on under the suspicion of a tumour. Histological and bacteriological examinations as well as fungus cultures indicated, however, that the patient was suffering from a chronic infection caused by Penicillium notatum. Surgical treatment and postoperative intravenous administration of amphotericin B resulted in complete recovery of the patient.
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D001431:Bacteriological Techniques; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005005:Ethmoid Sinus / Q000382:microbiology; D005260:Female; D006801:Humans; D008443:Maxillary Sinus / Q000382:microbiology; D009181:Mycoses / Q000175:diagnosis*; D009916:Orbital Diseases / Q000175:diagnosis; D010407:Penicillium / Q000187:drug effects; D012086:Reoperation; D012852:Sinusitis / Q000175:diagnosis* / Q000601:surgery; D013101:Sphenoid Sinus / Q000382:microbiology
chemical_list: D000666:Amphotericin B
vernacular_title: Penicillinose der Nasennebenhöhlen.