title: Acute fulminant invasive fungal sinusitis with cavernous sinus syndrome.
abstract: Acute fulminant invasive fungal sinusitis is most commonly found in immunocompromised patients with conditions such as diabetes mellitus, malignancies and acquired immune deficiency syndrome. The most common pathogens are Aspergillus and Mucoraceae and the sinus most frequently involved is the maxillary sinus. Fever, rhinorrhea, facial pain, headache, and diplopia are common presenting symptoms. Complications of this infection include intracranial and / or intraorbital spread of the infection; the prognosis is poor. Here, a rare case of acute fulminant invasive fungal sinusitis with cavernous sinus syndrome is reported.
authors.affiliation: Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, Department of Otolaryngology, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.
authors.forename: Tzu-Hang
authors.initials: TH
authors.lastname: Chi
authors.affiliation: Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Hsien-Shen
authors.initials: HS
authors.lastname: Chen
authors.affiliation: Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Chien-Han
authors.initials: CH
authors.lastname: Yuan
authors.affiliation: Department of Otolaryngology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
authors.forename: Feng-Ming
authors.initials: FM
authors.lastname: Su
mesh_terms: D000208:Acute Disease; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis* / Q000188:drug therapy; D002426:Cavernous Sinus / Q000473:pathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006261:Headache / Q000209:etiology; D006801:Humans; D016867:Immunocompromised Host; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012852:Sinusitis / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents