Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual
Secondary involvement of orbit in aspergillosis following paranasal sinus fungal infection is rare. A case of invasive aspergillosis of right maxillary sinus in a 31-year-old immunocompetent male patient was referred to Ophthalmology OPD with unilateral proptosis. Patient developed proptosis in ri...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-04-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14718/47244_CE[Ra1]_F[SK]_PF1(AA_OM)_PFA(AA_KM)_PN(KM).pdf |
| _version_ | 1819107109459984384 |
|---|---|
| author | Sachin Daigavane Madhumita Prasad Sana Beg Jigna Motwani |
| author_facet | Sachin Daigavane Madhumita Prasad Sana Beg Jigna Motwani |
| author_sort | Sachin Daigavane |
| collection | DOAJ |
| description | Secondary involvement of orbit in aspergillosis following paranasal sinus fungal infection is rare. A case of invasive aspergillosis of
right maxillary sinus in a 31-year-old immunocompetent male patient was referred to Ophthalmology OPD with unilateral proptosis.
Patient developed proptosis in right eye since six months, which was insidious in onset, progressive, not associated with painful
movements. It showed regression since last one month. On examination, best corrected visual acuity was 6/12 in right eye with
light projection accurate in all quadrants on presentation, with progressive diminution of vision over 15 days, normal colour vision,
pupil was normal in size, reacting to light. Extraocular movements were reduced on lateral side. Left eye examination was within
normal limit. Magnetic resonance imaging showed involvement of intra and extraconal compartment upto apex of orbit of right eye,
pushing optic nerve medially, with erosion of lamina papyrecea. Intravenous amphotericin B was started and functional endoscopic
sinus surgery with maxillary sinus debridement was done. Regular follow-up was kept to prevent the optic nerve involvement. |
| first_indexed | 2024-12-22T02:48:49Z |
| format | Article |
| id | doaj.art-65f7a16389bc4233bcec503364cc368b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T02:48:49Z |
| publishDate | 2021-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-65f7a16389bc4233bcec503364cc368b2022-12-21T18:41:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-04-01154ND01ND0210.7860/JCDR/2021/47244.14718Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent IndividualSachin Daigavane0Madhumita Prasad1Sana Beg2Jigna Motwani3Professor, Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.Registrar, Department of Ophthalmology, Sankaraeye Centre, Indore, Madhya Pradesh, India.Senior Resident, Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.Junior Resident, Department of Ophthalmology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India.Secondary involvement of orbit in aspergillosis following paranasal sinus fungal infection is rare. A case of invasive aspergillosis of right maxillary sinus in a 31-year-old immunocompetent male patient was referred to Ophthalmology OPD with unilateral proptosis. Patient developed proptosis in right eye since six months, which was insidious in onset, progressive, not associated with painful movements. It showed regression since last one month. On examination, best corrected visual acuity was 6/12 in right eye with light projection accurate in all quadrants on presentation, with progressive diminution of vision over 15 days, normal colour vision, pupil was normal in size, reacting to light. Extraocular movements were reduced on lateral side. Left eye examination was within normal limit. Magnetic resonance imaging showed involvement of intra and extraconal compartment upto apex of orbit of right eye, pushing optic nerve medially, with erosion of lamina papyrecea. Intravenous amphotericin B was started and functional endoscopic sinus surgery with maxillary sinus debridement was done. Regular follow-up was kept to prevent the optic nerve involvement.https://www.jcdr.net/articles/PDF/14718/47244_CE[Ra1]_F[SK]_PF1(AA_OM)_PFA(AA_KM)_PN(KM).pdffungal infectionneuroaspergillosisproptosis |
| spellingShingle | Sachin Daigavane Madhumita Prasad Sana Beg Jigna Motwani Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual Journal of Clinical and Diagnostic Research fungal infection neuroaspergillosis proptosis |
| title | Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual |
| title_full | Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual |
| title_fullStr | Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual |
| title_full_unstemmed | Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual |
| title_short | Invasive Aspergillosis of Right Maxillary Sinus with Orbital Extension in an Immunocompetent Individual |
| title_sort | invasive aspergillosis of right maxillary sinus with orbital extension in an immunocompetent individual |
| topic | fungal infection neuroaspergillosis proptosis |
| url | https://www.jcdr.net/articles/PDF/14718/47244_CE[Ra1]_F[SK]_PF1(AA_OM)_PFA(AA_KM)_PN(KM).pdf |
| work_keys_str_mv | AT sachindaigavane invasiveaspergillosisofrightmaxillarysinuswithorbitalextensioninanimmunocompetentindividual AT madhumitaprasad invasiveaspergillosisofrightmaxillarysinuswithorbitalextensioninanimmunocompetentindividual AT sanabeg invasiveaspergillosisofrightmaxillarysinuswithorbitalextensioninanimmunocompetentindividual AT jignamotwani invasiveaspergillosisofrightmaxillarysinuswithorbitalextensioninanimmunocompetentindividual |