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Invasive fungal sinusitis in a healthy athlete due to long‐term anabolic steroid use
Author(s) -
Kim Irene A.,
Thompson Christopher F.,
Kedeshian Paul A.,
PalmaDiaz Fernando,
Suh Jeffrey D.
Publication year - 2014
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.24608
Subject(s) - anabolism , medicine , steroid use , sinusitis , anabolic steroid , immune system , physiology , immunology
Invasive fungal rhinosinusitis is a potentially fatal infection that affects immunocompromised patients. Prognosis is generally poor despite aggressive medical and surgical treatments. We present the first reported case of invasive fungal sinusitis in a healthy 18‐year‐old male athlete who was taking anabolic androgenic steroids (AAS). The effects of excessive AAS use on the immune system are not fully understood, but there may be consequences at supraphysiological concentrations. This case demonstrates potential immunomodulatory effects of anabolic steroids and highlights a previously unknown cause of invasive fungal sinusitis. Laryngoscope , 124:1756–1759, 2014