Aspergillosis: a nidus of maxillary antrolith.
We present a case of polypoid sinusitis with maxillary sinus antrolith, which is composed of Aspergillus species. Unlike most muddy or necrotic fungal balls, this first reported fungal antrolith is solid and extremely hard. Aspergillus served as a central fungal nidus associated with long-standing sinusitis, and poor sinus drainage could be a possible pathophysiology for the formation of a sinus stone. Aspergillosis infection should be considered in the differential diagnosis of a radiopaque paranasal sinus lesion. The endoscopic sinus surgery can be a reliable and minimally invasive method not only for the removal of the stone, but also for the restoration of ventilation and drainage of the diseased sinus.
Wu
Che-Wei
CW
Department of Otolaryngology, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Tai
Chih-Feng
CF
Wang
Ling-Feng
LF
Tsai
Kun-Bow
KB
Kuo
Wen-Rei
WR
D001228:Aspergillosis / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus; D008875:Middle Aged; D009298:Nasal Polyps / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D010254:Paranasal Sinus Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*