Pachón-Rojas C, González-Orozco A, Padilla-Levis LF

Language: Spanish
References: 6
Page: 167-170
PDF size: 337.01 Kb.

ABSTRACT

Introduction: The fungal ball is part of non-invasive fungal rhinosinusitis, which is usually present in the maxillary sinus. Symptoms are shared with chronic rhinosinusitis, and diagnosis is made through diagnostic imaging and endoscopic examination to rule out other causes. Case presentation: A 51-year-old female patient reconsulting with an 8-month history of symptoms of chronic rhinosinusitis without improvement. Computed tomography scan showed occupation of the left maxillary and ethmoid sinuses with osteitis, suspecting a space-occupying lesion requiring magnetic resonance imaging and surgical management. The fungal ball diagnosis was confirmed and not a tumor lesion, with complete improvement postoperatively. Discussion and conclusions: Fungal ball is classified as non-invasive fungal rhinosinusitis without mucin that requires surgical management and should be considered as a differential diagnosis, given that they can simulate tumors.

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