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Paeanasal sinus disease with intracranial extension: Aspergillosis versus malignancy
Author(s) -
Sarti Edward J.,
Blaugrund Stanley M.,
Lin Pi Tang,
Camins Martin B.
Publication year - 1988
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 - 10.1288/00005537-198806000-00011
Subject(s) - fulminant , medicine , paranasal sinuses , aspergillosis , disease , malignancy , sinus (botany) , pathology , respiratory tract , radiology , surgery , biology , anatomy , immunology , respiratory system , botany , genus
Aspergillus is a fungus with world‐wide distribution and a common endogenous contaminate of the upper respiratory tract. It has become an increasingly recognized pathogen in the paranasal sinuses. In its pathologic state it presents in one of several forms that may represent a continuum of the disease: allergic, noninvasive, invasive, and fulminant. The progression and prognosis of this disease depends on the location and immunologic status of the patient. This case represents the fourth reported case of a nonimmunologic compromised patient with intracranial extension of aspergillosis. The patient presented with unilateral pansinusitis and radiographic evidence of orbital and anterior cranial fossa invasion. This case illustrates the difficulty of establishing the diagnosis of invasive aspergillosis and differentiating it from neoplastic entities. Radiographs and photomicrographs will be presented to establish this premise.