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J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e237-e238
DOI: 10.1055/s-0033-1345092
DOI: 10.1055/s-0033-1345092
Case Report
Aspergillosis Sinusitis with Cranio-Orbital Spread in an Apparently Immunocompetent Patient
Weitere Informationen
Publikationsverlauf
01. April 2012
11. Februar 2013
Publikationsdatum:
01. August 2013 (online)
![](https://www.thieme-connect.de/media/jnlsa/2013S01/lookinside/thumbnails/10.1055-s-0033-1345092-1.jpg)
Abstract
Intracranial fungal infections are unusual and typically described in immunocompromised hosts. The authors describe a rare case of an immunocompetent white man presenting with blindness after Aspergillus fumigatus infection of the ethmoidal air sinus with spread to the orbital apex and the frontal lobe. This was successfully treated by surgical drainage via a frontal craniotomy and long-term antifungal therapy with voriconazole.
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References
- 1 Goel A, Nadkarni T, Desai AP. Aspergilloma in the paracavernous region—two case reports. Neurol Med Chir (Tokyo) 1996; 36 (10) 733-736
- 2 Phuttharak W, Hesselink JR, Wixom C. MR features of cerebral aspergillosis in an immunocompetent patient: correlation with histology and elemental analysis. AJNR Am J Neuroradiol 2005; 26 (4) 835-838
- 3 Tempkin AD, Sobonya RE, Seeger JF, Oh ES. Cerebral aspergillosis: radiologic and pathologic findings. Radiographics 2006; 26 (4) 1239-1242
- 4 Herbrecht R, Denning DW, Patterson TF , et al; Invasive Fungal Infections Group of the European Organisation for Research and Treatment of Cancer and the Global Aspergillus Study Group. Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. N Engl J Med 2002; 347 (6) 408-415
- 5 Parikh SL, Venkatraman G, DelGaudio JM. Invasive fungal sinusitis: a 15-year review from a single institution. Am J Rhinol 2004; 18 (2) 75-81
- 6 Walsh TJ, Anaissie EJ, Denning DW , et al; Infectious Diseases Society of America. Treatment of aspergillosis: clinical practice guidelines of the Infectious Diseases Society of America. Clin Infect Dis 2008; 46 (3) 327-360
- 7 Panda NK, Balaji P, Chakrabarti A, Sharma SC, Reddy CE. Paranasal sinus aspergillosis: its categorization to develop a treatment protocol. Mycoses 2004; 47 (7) 277-283