Invasive aspergillosis of tympanomastoid cavity
Invasive aspergillosis of the tympanomastoid cavity is an extremely rare clinical incidence in comparison to the invasive fungal infections of the paranasal sinus and other parts of the body. Delay in the diagnosis and treatment of this rare clinical entity often leads to fatal complications such as...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2019-01-01
|
Series: | Journal of the Scientific Society |
Subjects: | |
Online Access: | http://www.jscisociety.com/article.asp?issn=0974-5009;year=2019;volume=46;issue=3;spage=106;epage=109;aulast=Swain |
_version_ | 1831652374068854784 |
---|---|
author | Santosh Kumar Swain Priyanka Debta Ajit Kumar Bishoyi Rabindranath Padhy |
author_facet | Santosh Kumar Swain Priyanka Debta Ajit Kumar Bishoyi Rabindranath Padhy |
author_sort | Santosh Kumar Swain |
collection | DOAJ |
description | Invasive aspergillosis of the tympanomastoid cavity is an extremely rare clinical incidence in comparison to the invasive fungal infections of the paranasal sinus and other parts of the body. Delay in the diagnosis and treatment of this rare clinical entity often leads to fatal complications such as skull base osteomyelitis and progressive multiple cranial nerve palsies. The invasive aspergillosis of the tympanomastoid region should be considered as a differential diagnosis for atypical mastoiditis in immunocompromised patients. Here, we report a case of invasive aspergillosis of the tympanomastoid region in a 60-year-old diabetic patient with facial nerve palsy. The diagnosis was done by the demonstration of fungi in the tissue with Gomori methenamine silver staining and confirmed with molecular diagnosis. Surgical debridement of the tympanomastoid region was done along with long-term voriconazole therapy. |
first_indexed | 2024-12-19T15:45:10Z |
format | Article |
id | doaj.art-35c0676756a34ac1aa739c2de02e0257 |
institution | Directory Open Access Journal |
issn | 0974-5009 |
language | English |
last_indexed | 2024-12-19T15:45:10Z |
publishDate | 2019-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of the Scientific Society |
spelling | doaj.art-35c0676756a34ac1aa739c2de02e02572022-12-21T20:15:22ZengWolters Kluwer Medknow PublicationsJournal of the Scientific Society0974-50092019-01-0146310610910.4103/jss.JSS_41_19Invasive aspergillosis of tympanomastoid cavitySantosh Kumar SwainPriyanka DebtaAjit Kumar BishoyiRabindranath PadhyInvasive aspergillosis of the tympanomastoid cavity is an extremely rare clinical incidence in comparison to the invasive fungal infections of the paranasal sinus and other parts of the body. Delay in the diagnosis and treatment of this rare clinical entity often leads to fatal complications such as skull base osteomyelitis and progressive multiple cranial nerve palsies. The invasive aspergillosis of the tympanomastoid region should be considered as a differential diagnosis for atypical mastoiditis in immunocompromised patients. Here, we report a case of invasive aspergillosis of the tympanomastoid region in a 60-year-old diabetic patient with facial nerve palsy. The diagnosis was done by the demonstration of fungi in the tissue with Gomori methenamine silver staining and confirmed with molecular diagnosis. Surgical debridement of the tympanomastoid region was done along with long-term voriconazole therapy.http://www.jscisociety.com/article.asp?issn=0974-5009;year=2019;volume=46;issue=3;spage=106;epage=109;aulast=Swaininvasive aspergillosissurgical debridementtympanomastoid cavityvoriconazole |
spellingShingle | Santosh Kumar Swain Priyanka Debta Ajit Kumar Bishoyi Rabindranath Padhy Invasive aspergillosis of tympanomastoid cavity Journal of the Scientific Society invasive aspergillosis surgical debridement tympanomastoid cavity voriconazole |
title | Invasive aspergillosis of tympanomastoid cavity |
title_full | Invasive aspergillosis of tympanomastoid cavity |
title_fullStr | Invasive aspergillosis of tympanomastoid cavity |
title_full_unstemmed | Invasive aspergillosis of tympanomastoid cavity |
title_short | Invasive aspergillosis of tympanomastoid cavity |
title_sort | invasive aspergillosis of tympanomastoid cavity |
topic | invasive aspergillosis surgical debridement tympanomastoid cavity voriconazole |
url | http://www.jscisociety.com/article.asp?issn=0974-5009;year=2019;volume=46;issue=3;spage=106;epage=109;aulast=Swain |
work_keys_str_mv | AT santoshkumarswain invasiveaspergillosisoftympanomastoidcavity AT priyankadebta invasiveaspergillosisoftympanomastoidcavity AT ajitkumarbishoyi invasiveaspergillosisoftympanomastoidcavity AT rabindranathpadhy invasiveaspergillosisoftympanomastoidcavity |