Download PDF
Arquivos Internacionais de Otorrinolaringologia 2011; 15(02): 245-248
DOI: 10.1590/S1809-48722011000200019
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Fungal Mastoiditis in AIDS Patients: Reported Cases

Mastoidite Fúngica em Paciente com SIDA: Relato de Caso
Lucas Rodrigues Carenzi
*   Resident Doctor.
,
Flavia Silveira
*   Resident Doctor.
,
Gabriel Bijos Faidiga
*   Resident Doctor.
,
Tassiana do Lago
*   Resident Doctor.
,
Camila Carrara Yassuda
*   Resident Doctor.
,
Eduardo Tanaka Massuda
**   Doctor. Professor.
,
Miguel Angelo Hyppolito
**   Doctor. Professor.
› Author Affiliations
Further Information

Publication History

10 August 2009

23 October 2009

Publication Date:
12 February 2014 (online)

   Permissions and Reprints

Summary

Introduction: Fungal mastoidits by Aspergillus fumigates predominantly occurs in immunosuppressed patients. Diagnosis is usually hard and disease is potentially fatal. Treatment is comprised of antifungal therapy, surgical debridement and immunosuppression correction.

Case Report: This article reports a case of fungal mastoiditis in a patient with acquired immunodeficiency syndrome (AIDS). The treatment performed was that of surgery associated with antifungal therapy. The patient's facial nerve was not affected, what does not exclude potentially fatal complications of mastoiditis.

Resumo

Introdução: Mastoidite fúngica por Aspergillus fumigatus ocorre predominantemente em pacientes imunossuprimidos. O diagnóstico geralmente é difícil e a doença é potencialmente fatal. O tratamento consiste em terapia antifúngica, desbridamento cirúrgico e correção da imunossupressão.

Relato do Caso: Este artigo trata-se de um relato de um caso de mastoidite fúngica em um paciente com síndrome da imunodeficiência adquirida (SIDA). O tratamento realizado foi o cirúrgico associado à terapia antifúngica. O nervo facial deste paciente não estava afetado, o que não exclui complicações potencialmente fatais da mastoidite.

Keywords

acquired immunodeficiency syndrome - mastoiditis - Aspergillus fumigatus

Palavras-chave

síndrome de imunodeficiência adquirida - mastoidite - Aspergillus fumigatus
 

  • Bibliographical References

  • 1 Adams Jr. NF. Infections involving the ethmoid, maxillary and sphenoid sinus and the orbit due to Aspergillus fumigatus. Arch Surg 1923; 26: 999-1009
    Search in Google Scholar
  • 2 Petrak RM, Pottage JC. Levin S, Invasive external otitis caused by Aspergillus fumigatus in an immunocompromised patient. J Infect Dis 1985; 151: 196
    CrossrefSearch in Google Scholar
  • 3 Hall PJ, Farrior JB. Aspergillus mastoiditis. Otolaryngol Head Neck Surg 1993; 108: 167-170
    Search in Google Scholar
  • 4 Teh W, Matti BS, Marisiddaiah H, Minamoto GY. Aspergillus sinusitis in patients with AIDS: report of three cases and review. Clin Infect Dis 1995; 21: 529-535
    CrossrefSearch in Google Scholar
  • 5 Cunningham M, Yu VL, Turner J, Curtin H. Necrotizing otitis externa due to Aspergillus in an immunocompetent patient. Arch Otolaryngol Head Neck Surg 1988; 114: 554-556
    CrossrefSearch in Google Scholar
  • 6 Bryce GE, Phillips P, Lepawsky M, Gribble MJ. Invasive Aspergillus tympanomastoiditis in an immunocompetent patient. J Otolaryngol 1997; 26: 266-269
    Search in Google Scholar
  • 7 Hora JF. Primary aspergillosis of the paranasal sinuses and associated areas. Laryngoscope 1965; 75: 768-773
    CrossrefPubMedSearch in Google Scholar
  • 8 McGill TJ. Mycotic infection of the temporal bone. Arch Otolaryngol 1978; 104: 140-144
    CrossrefSearch in Google Scholar