Allergic Fungal Sinusitis

A 42 year old male presents with worsening pain and an increase in thick chronic drainage of the left sinus. Image studies show complete opacification of the left frontal sinus, left sphenoid sinus, and the left maxillary sinus. The patient was taken to the operating room and tissue for microscopic...

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Bibliographic Details
Published in:Head & neck pathology (Totowa, N.J.) N.J.), 2015-12, Vol.9 (4), p.488-491
Main Authors: Correll, Daniel P., Luzi, Scott A., Nelson, Brenda L.
Format: Article
Language:English
Subjects:
Adult
Dentistry
Desensitization, Immunologic
Glycoproteins - metabolism
Humans
Hypersensitivity - microbiology
Hypersensitivity - pathology
Inclusion Bodies - metabolism
Inclusion Bodies - pathology
Lysophospholipase - metabolism
Male
Medicine
Medicine & Public Health
Mycoses - pathology
Oral and Maxillofacial Surgery
Otorhinolaryngology
Pathology
Penicillium
Sine qua non Clinicopathologic Correlat
Sinusitis - microbiology
Sinusitis - pathology
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Summary:A 42 year old male presents with worsening pain and an increase in thick chronic drainage of the left sinus. Image studies show complete opacification of the left frontal sinus, left sphenoid sinus, and the left maxillary sinus. The patient was taken to the operating room and tissue for microscopic evaluation was obtained. The microscopic findings were classic for allergic fungal sinusitis: areas of alternating mucinous material and inflammatory cell debris and abundant Charcot–Leyden crystals. Cultures were performed and the patient began steroid therapy and desensitization therapy.
ISSN:1936-055X
1936-0568
DOI:10.1007/s12105-014-0598-5