Isolated fronto-ethmoidal allergic fungal rhinosinusitis: case report and review of the literature

Isolated fronto-ethmoidal allergic fungal rhinosinusitis: case report and review of the literature

Authors

  • Gabriele Oretti Azienda Ospedaliero Universitaria Parma - Departement of Otolaryngology
  • Giuseppe Castellana Azienda Ospedaliero Universitaria Parma
  • Roberta Manuguerra
  • Enrico Maria Silini
  • Teore Ferri Department of Otolaryngology and Otoneurosurgery - University of Parma

Keywords:

ethmoid sinus, fungal rhino sinusitis, allergy, rhinology, frontal sinus

Abstract

Background and aim of the work: Fungal rhinosinusitis (FRS) is a clinical entity characterized by the presence of fungi within sino-nasal cavities that may occur in patients with normal or defective immunity. Allergic fungal rhinosinusitis (AFRS) is a form of non-invasive FRS that affects patients with an abnormal immuno-mediated response to fungal antigens. This article describes a case of isolated fronto-ethmoidal AFRS. Methods: A 20-year old male patient presented with a history of a left nasal respiratory obstruction and allergic oculorhinitis. CT scans showed a polypoid mass in the left nasal cavity and opacification of the left ethmoid sinus, frontal recess and frontal sinus with hyperdense component. The patient underwent functional endonasal sinus surgery (FESS) with removal of nasal polyps from the left nasal cavity and of cheesy-like material and dense mucus from the left ethmoid and frontal sinus. Histological examination showed presence of fungal hyphae within the allergic mucus; a diagnosis of AFRS was made. Results: Follow up at 14 months showed no signs of recurrence. Conclusions: The AFRS case reported herein is characterized by isolated unilateral fronto-ethmoid involvement, a rare presentation. Endoscopic nasal treatment was effective with complete patient recovery. (www.actabiomedica.it)

Author Biographies

Gabriele Oretti, Azienda Ospedaliero Universitaria Parma - Departement of Otolaryngology

Medical doctor, Azienda Ospedaliero Universitaria Parma - Departement of Otolaryngology

Roberta Manuguerra

Medical doctor, Azienda Ospedaliero Universitaria Parma - Departement of Pathology

Enrico Maria Silini

Chair Professor, Azienda Ospedaliero Universitaria Parma - Departement of Pathology

Teore Ferri, Department of Otolaryngology and Otoneurosurgery - University of Parma

Chair Professor, Azienda Ospedaliero Universitaria Parma - Departement of Otolaryngology

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Published

23-12-2019

Issue

Section

CASE REPORTS

How to Cite

1.
Oretti G, Castellana G, Manuguerra R, Silini EM, Ferri T. Isolated fronto-ethmoidal allergic fungal rhinosinusitis: case report and review of the literature. Acta Biomed [Internet]. 2019 Dec. 23 [cited 2024 Jul. 19];90(4):563-7. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/7832