An unusual location for a fungus ball: the concha bullosa

We report an unusual case of a fungus ball in the concha bullosa, without involvement of the paranasal sinuses. A 29-year-old woman presented complaining of nasal obstruction and postnasal discharge. Paranasal computed tomography demonstrated that the concha bullosa in the right middle turbinate was...

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Bibliographic Details
Published in:Journal of laryngology and otology 2012-08, Vol.126 (8), p.844-846
Main Authors: Ciger, E, Demiray, U, Onal, K, Songu, M
Format: Article
Language:English
Subjects:
Adult
Antibiotics
Aspergillosis - complications
Aspergillosis - diagnosis
Biological and medical sciences
Bone
Computed tomography
Concretions
Diagnosis, Differential
Disease
Endoscopy
Female
Foreign Bodies - diagnostic imaging
Fungal infections
Fungi
Fungus balls
Human mycoses
Humans
Immune system
Infectious diseases
Maxillary sinus
Medical sciences
Miscellaneous mycoses
Mycoses
Nasal Obstruction - diagnostic imaging
Nasal Obstruction - etiology
Nose
Nose Diseases - complications
Nose Diseases - diagnosis
Otolaryngology
Otorhinolaryngology. Stomatology
Pathogens
Pathology
Sinus
Sinuses
Surgery
Tomography
Tomography, X-Ray Computed
Turbinates - diagnostic imaging
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Description
Summary:We report an unusual case of a fungus ball in the concha bullosa, without involvement of the paranasal sinuses. A 29-year-old woman presented complaining of nasal obstruction and postnasal discharge. Paranasal computed tomography demonstrated that the concha bullosa in the right middle turbinate was filled with a high-density material. The patient underwent endoscopic resection of the concha bullosa, during which a dark brown, cheese-like material was found. Histopathological examination of the excised specimen revealed a fungus ball. Fungus balls are non-invasive accumulations of dense fungal concretions that generally affect healthy individuals. In the sinonasal region, they occur most frequently in the maxillary sinus. Although fungus ball formation in the concha bullosa is unusual, it should be considered in the differential diagnoses of middle turbinate and sinonasal pathology.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215112001247