Pneumocephalus: a rare presentation of Candida sphenoid sinusitis.
Pneumocephalus is uncommon and usually evident after head trauma or surgery. It is a rare complication of acute, isolated sphenoid sinusitis caused by fungus pathogens in an immunocompetent patient. We report on a 14-year-old healthy boy with acute, isolated sphenoid sinusitis caused by Candida albicans. Pneumocephalus was the initial overlooked presentation. Although uncommon, fungal disease should be considered in acute, isolated sphenoid sinusitis when pneumocephalus is discovered, even in immunocompetent patients. Failure to diagnose and treat this entity promptly usually results in rapid progression and death.
Lin
Jainn-Jim
JJ
Division of Pediatric Neurology, Chang Gung Children's Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
Wu
Chang-Teng
CT
Hsia
Shao-Hsuan
SH
Wang
Huei-Shyong
HS
Lin
Kuang-Lin
KL
D000293:Adolescent; D001921:Brain / Q000000981:diagnostic imaging; D002177:Candidiasis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011007:Pneumocephalus / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D015524:Sphenoid Sinusitis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed