Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen

AbstractA 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a...

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Bibliographic Details
Main Authors: Robert R. Lisac, Matthew Garber, Ayesha Mirza, Chetan C. Shah
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Medical Mycology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753921000014
Description
Summary:AbstractA 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a second extra-cranial abscess in the right infratemporal fossa along with large right sphenoidal emissary foramen. Drainage from sinus surgery confirmed allergic fungal rhinosinusitis. She was treated with prednisone and voriconazole.
ISSN:2211-7539