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Dentomaxillofacial Radiology (2007) 36, 102-104
© 2007 British Institute of Radiology
doi: 10.1259/dmfr/75735786


CASE REPORTS

Chronic invasive sinus aspergillosis in an immunocompetent patient: a case report

S Mylona1, V Tzavara2, S Ntai1, M Pomoni1 and L Thanos*,1

1 Department of Radiology, "Korgialenio Benakio" Red Cross Hospital of Athens, Athens, Greece; 2 1st Medical Department, "Korgialenio Benakio" Red Cross Hospital of Athens, Athens, Greece

*Correspondence to: Dr Loukas Thanos, "Korgialenio Benakio" Red Cross Hospital of Athens, Department of Radiology, Athanasaki 1 St., 11526 Athens, Greece; Email: loutharad{at}yahoo.com

Received 28 March 2006; revised 2 June 2006; accepted 27 June 2006

We report the case of an immunocompetent, 39 year old male who presented with diplopia and diffuse headache. The CT scan demonstrated the presence of a sizeable mass that took over the nasal cavity, the right maxillary sinus, the sphenoid and ethmoid sinus, extending to the sellar and suprasellar region, and eroding the adjacent bones. The patient also underwent MRI and endoscopic sinus surgery. Biopsy of the suspected tissue for pathology and culture demonstrated Aspergillus fumigatus.

Keywords: sinusitis; aspergillus; imaging findings; invasive; endoscopic sinus surgery







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