Korean J Otorhinolaryngol-Head Neck Surg.  2018 Oct;61(10):541-545. 10.3342/kjorl-hns.2017.17657.

Invasive Aspergillosis Associated Bacterial Infection in the Nasal Septum After Sphenoid Sinus Surgery

Affiliations
  • 1Department of Otolaryngology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. newnew1@hanmail.net
  • 2Department of Pathology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Abstract

Nasal septal infection can result from progression of a fungal infection from the adjacent sinuses. Nasal septal fungal abscesses complicating nasal trauma, surgical procedures, sinus, and dental infections have previously been reported in a small number of cases. Adequate management involves early diagnosis, prompt empiric antifungal therapy, and surgical debridement in order to prevent the development of life-threatening complications. We report a rare case of nasal septum necrosis from Aspergillus infection in a 79-year-old man with diabetes mellitus and chronic renal failure following endoscopic sphenoid sinus surgery due to an isolated sphenoid fungal ball.

Keyword

Aspergillosis; Septal abscess; Sphenoid fungal ball

MeSH Terms

Abscess
Aged
Aspergillosis*
Aspergillus
Bacterial Infections*
Debridement
Diabetes Mellitus
Early Diagnosis
Humans
Kidney Failure, Chronic
Nasal Septum*
Necrosis
Sphenoid Sinus*
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