title: [Allergic fungal rhinosinusitis].
abstract: BACKGROUND
  Definition, diagnosis and treatment of allergic fungal sinusitis remain difficult and controversial despite the increasing number of publications. We report a case of an allergic fungal sinusitis with a review of the literature.
  
  
  METHODS
  A 45-year-old man consulted for sinusal polyposis resistant to steroid therapy, clinical examination objectified bilateral nasal polyps and covered with scabs. CT scan of the sinuses disclosed a sinuse filled with a tissue density material containing air with lysis of the left maxillary sinus, hypereosinophilia, the IgE levels were high. Finally, mycological investigation allowed the identification of Aspergillus fumigatus. The patient underwent total ethmoidectomy, histological study found an allergic mucin and inflammatory mucosa with numerous eosinophils. The postoperative course was good and the patient was given oral steroids. The clinical and radiological evolution was favorable without recurrence with a follow-up of three years.
  
  
  CONCLUSIONS
  A set of clinical, radiological, histopathological, immunoallergological and mycological criteria is necessary for precise diagnosis and to avoid fungal drift. The treatment is based on endoscopic surgery associated with corticosteroid.
authors.affiliation: Service de parasitologie-mycologie, CeDoc faculté de Médecine et de Pharmacie Mohammed V, hôpital Militaire Mohammed V de Rabat, Rabat, Maroc. Electronic address: nahalamia@yahoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Naha
authors.affiliation: Service d'ORL et CCF, hôpital Militaire Moulay Ismail de Meknès, Meknès, Maroc.
authors.forename: K
authors.initials: K
authors.lastname: Nadour
authors.affiliation: Service de parasitologie-mycologie, CeDoc faculté de Médecine et de Pharmacie Mohammed V, hôpital Militaire Mohammed V de Rabat, Rabat, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Iken
authors.affiliation: Service de parasitologie-mycologie, CeDoc faculté de Médecine et de Pharmacie Mohammed V, hôpital Militaire Mohammed V de Rabat, Rabat, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Lmimouni
mesh_terms: D001228:Aspergillosis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D001232:Aspergillus fumigatus / Q000302:isolation & purification; D003937:Diagnosis, Differential; D004724:Endoscopy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000150:complications / Q000382:microbiology / Q000628:therapy; D065631:Rhinitis, Allergic / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy
chemical_list: D005938:Glucocorticoids
keywords: CT scan; Chirurgie endoscopique; Endoscopic surgery; Ethmoid sinus; Ethmoïde; Mycologie; Mycology; Scanner