"Objective: To report the characteristic clinical, radiologic, and histopathologic findings in two cases of allergic fungal sinusitis secondary to Curvularia lunata infection. Methods: Two case reports. Results: Two patients with allergic fungal sinusitis, both presented with proptosis, motility and visual disturbance. The first patient was treated with endoscopic surgical debridement and sinus aeration along with inhaled steroid therapy, which provided complete return of visual function. The second patient was treated with repeated surgical debridement and aeration alone, which resulted in a chronic smoldering disease process. Conclusion: Allergic fungal sinusitis is a well-defined, common disorder that typically occurs in young, healthy adults who have a long history of allergic rhinitis. Patients often present with nasal congestion and sinus opacification that is unresponsive to antibiotic therapy. Proptosis and motility disturbance are the most common ophthalmic manifestations. CT imaging demonstrates a heterogeneous mass with compressive bone erosion. Treatment of the fungal hypersensitivity response is paramount. "
Darryl L. Ainbinder, MD; Clifton S. Otto, MD
Company: Mediconcepts, Inc
CE Credits: 1
CE Format: PDF
COPE ID: 11403-SD