title: [Orbital phlegmone caused by acute exacerbation of chronic fungal pansinusitis in a child].
abstract: BACKGROUND
  Invasive fungal rhinosinusitis is an aggressive, destructive process most commonly affecting immunocompromised hosts with mortality rate of approximately 60-80%.
  
  
  OBJECTIVE
  The authors present a child's recovery of orbital phlegmone due to acute exacerbation of chronic fungal pansinusitis. They call the attention to the possibility of ever more frequent fungal sinusitis in our country.
  
  
  METHODS
  Retrospective case report of an 8 years old boy presented with photos.
  
  
  RESULTS
  The recovery was promoted by supposing the chance of fungal origin in time. No orbital abscess was found by surgery despite of typical clinical appearance and MRI results. After beginning of antibacterial treatment and functional endoscopic sinus surgery (FESS) the even worsening clinical status of orbital phlegmone raised the possibility of fungal origin, which was verified by mycological examination. The antimycotic treatment, which had been started in time was followed by complete recovery. Due to scarring in the medial rectus muscle, diplopia was the only complication which needs further ophthalmological controls.
  
  
  CONCLUSIONS
  Supposition and verification of chance of fungal origin is essential in cases of chronic inflammation of paranasal sinus and/or their complications for complex recovery.
authors.affiliation: Gyermek Fül-orr-gége Részleg, Petz Aladár Megyei Oktató Kórház, Gyór.
authors.forename: Mihály
authors.initials: M
authors.lastname: Fücsek
authors.forename: Márta
authors.initials: M
authors.lastname: Kovács
authors.forename: Péter
authors.initials: P
authors.lastname: Jobbágyi
mesh_terms: D000208:Acute Disease; D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009181:Mycoses / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D009916:Orbital Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D012008:Recurrence; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed
chemical_list: D000935:Antifungal Agents
vernacular_title: Krónikus gombás pansinusitis akut exacerbatiója következtében kialakult orbitaphlegmone gyermekkorban.