[Hyposmia, fetid rhinorrhea and facial pain caused by a maxillary aspergilloma].
In the last few years an increase has been observed in the incidence of fungal sinusitis in immunocompetent subjects. We present a case of mycotic sinusitis in a 12-year-old patient, in which there were several aspects that could have made the diagnosis more difficult, thus delaying her definitive treatment. This case illustrates how to arrive at a correct diagnosis of this pathology. It must be based on the histological and radiological studies, but always without forgetting a key aspect as it is a suspected diagnosis. The treatment of fungal sinusitis is surgical, and currently, endoscopic sinus surgery is the choice. We describe the clinical characteristics of this pathology and the diagnostic methods required.
Servicio de Pediatría del Hospital Universitario Central de Asturias, España.
A
A
Vivanco Allende
A
A
Coca Pelaz
B
B
Vivanco Allende
J L
JL
Llorente Pendás
D001228:Aspergillosis / Q000150:complications*; D002648:Child; D005157:Facial Pain / Q000209:etiology*; D005260:Female; D006801:Humans; D015523:Maxillary Sinusitis / Q000150:complications* / Q000382:microbiology*; D009666:Nose; D000857:Olfaction Disorders / Q000209:etiology*; D013492:Suppuration