title: Allergic Fungal Sinusitis.
abstract: A 42 year old male presents with worsening pain and an increase in thick chronic drainage of the left sinus. Image studies show complete opacification of the left frontal sinus, left sphenoid sinus, and the left maxillary sinus. The patient was taken to the operating room and tissue for microscopic evaluation was obtained. The microscopic findings were classic for allergic fungal sinusitis: areas of alternating mucinous material and inflammatory cell debris and abundant Charcot-Leyden crystals. Cultures were performed and the patient began steroid therapy and desensitization therapy.
authors.affiliation: Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA. daniel.correll@med.navy.mil.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Correll
authors.affiliation: Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Luzi
authors.affiliation: Department of Anatomic Pathology, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA, 92134-5000, USA.
authors.forename: Brenda L
authors.initials: BL
authors.lastname: Nelson
mesh_terms: D000328:Adult; D003888:Desensitization, Immunologic; D006023:Glycoproteins / Q000378:metabolism; D006801:Humans; D006967:Hypersensitivity / Q000382:microbiology / Q000473:pathology*; D002479:Inclusion Bodies / Q000378:metabolism / Q000473:pathology; D008245:Lysophospholipase / Q000378:metabolism; D008297:Male; D009181:Mycoses / Q000473:pathology*; D010407:Penicillium; D012852:Sinusitis / Q000382:microbiology* / Q000473:pathology*
chemical_list: D006023:Glycoproteins; D008245:Lysophospholipase; C011711:lysolecithin acylhydrolase
keywords: Congestion; Desensitization therapy; Sinus drainage; Tide lines