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Sphenoid aspergillosis resolved by transnasal surgical treatment and antifungal therapy: Report of a case

Abstract:

Aspergillosis refers to diseases caused by one of the almost 50 pathogenic species of Aspergillus. Aspergillus fungal in-volvement of the sphenoid sinus becomes a diagnostic chal-lenge. The surgical approach and fungal study of the material obtained will constitute the diagnostic-therapeutic guideline. Advances in diagnostic imaging tests and microbiological tests help in the timely recognition of this entity. Although it can occur mainly in immunocompromised patients, they can also occur in patients without added morbidity. An effective therapy is the evacuation of infected tissue by transnasal approach to the sphenoid sinus in combination with adequate antifungal medication. We present an atypical case of sinus-itis of fungal etiology in a 60-year-old female patient who had headache, mucopurulent rhinorrhea and epistaxis.