Incidental Findings of Asymptomatic Fungal Infection
Fungal sinusitis of the paranasal sinuses is a rare infection in healthy individuals but is relatively common in immunocompromised patients. It is often misdiagnosed and frequently a severe disease, as a few forms of it are linked with a higher mortality rate. Effective handling necessitates a speed...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
|
| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2022/3694968 |
| _version_ | 1798036317351706624 |
|---|---|
| author | Nisha Manila Madhu Nair Hui Liang |
| author_facet | Nisha Manila Madhu Nair Hui Liang |
| author_sort | Nisha Manila |
| collection | DOAJ |
| description | Fungal sinusitis of the paranasal sinuses is a rare infection in healthy individuals but is relatively common in immunocompromised patients. It is often misdiagnosed and frequently a severe disease, as a few forms of it are linked with a higher mortality rate. Effective handling necessitates a speedy analysis and often counts on radiological findings. On cone-beam computed tomography (CBCT) analysis, a bulky polypoid-shaped lesion with a density close to that of soft tissue in CBCT was visualized in the right ethmoid and sphenoid sinuses. There was a significant expansion of the borders of the right ethmoid sinus, and discontinuity or perforation of the sphenoid sinus floor was suspected from CBCT images. Non-contrasted multi-detector computed tomography (MDCT) exhibited opacification and extension of the lesion into the majority of sinuses with dense inspissated materials in the center, which resembled radiographic features of invasive fungal sinusitis. Computed tomography (CT) scan of the maxillofacial region, specifically paranasal sinuses, plays a considerable role in diagnosing fungal sinusitis. In a majority of cases, fungal sinusitis is noticed and diagnosed in immunocompromised patients. However, it is also seen in healthy patients in very rare circumstances, similar to the patient in this report. If the patient is treated rapidly, the prognosis is fair. We present a case of fungal sinusitis in an otherwise healthy young male patient to increase awareness among dental professionals. |
| first_indexed | 2024-04-11T21:11:11Z |
| format | Article |
| id | doaj.art-6e9835e1a30d4799a5af44ae8a594df7 |
| institution | Directory Open Access Journal |
| issn | 2090-6455 |
| language | English |
| last_indexed | 2024-04-11T21:11:11Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj.art-6e9835e1a30d4799a5af44ae8a594df72022-12-22T04:03:01ZengHindawi LimitedCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/3694968Incidental Findings of Asymptomatic Fungal InfectionNisha Manila0Madhu Nair1Hui Liang2Oral and Maxillofacial RadiologyOral and Maxillofacial RadiologyDirector of Oral and Maxillofacial Radiology Resident ProgramFungal sinusitis of the paranasal sinuses is a rare infection in healthy individuals but is relatively common in immunocompromised patients. It is often misdiagnosed and frequently a severe disease, as a few forms of it are linked with a higher mortality rate. Effective handling necessitates a speedy analysis and often counts on radiological findings. On cone-beam computed tomography (CBCT) analysis, a bulky polypoid-shaped lesion with a density close to that of soft tissue in CBCT was visualized in the right ethmoid and sphenoid sinuses. There was a significant expansion of the borders of the right ethmoid sinus, and discontinuity or perforation of the sphenoid sinus floor was suspected from CBCT images. Non-contrasted multi-detector computed tomography (MDCT) exhibited opacification and extension of the lesion into the majority of sinuses with dense inspissated materials in the center, which resembled radiographic features of invasive fungal sinusitis. Computed tomography (CT) scan of the maxillofacial region, specifically paranasal sinuses, plays a considerable role in diagnosing fungal sinusitis. In a majority of cases, fungal sinusitis is noticed and diagnosed in immunocompromised patients. However, it is also seen in healthy patients in very rare circumstances, similar to the patient in this report. If the patient is treated rapidly, the prognosis is fair. We present a case of fungal sinusitis in an otherwise healthy young male patient to increase awareness among dental professionals.http://dx.doi.org/10.1155/2022/3694968 |
| spellingShingle | Nisha Manila Madhu Nair Hui Liang Incidental Findings of Asymptomatic Fungal Infection Case Reports in Dentistry |
| title | Incidental Findings of Asymptomatic Fungal Infection |
| title_full | Incidental Findings of Asymptomatic Fungal Infection |
| title_fullStr | Incidental Findings of Asymptomatic Fungal Infection |
| title_full_unstemmed | Incidental Findings of Asymptomatic Fungal Infection |
| title_short | Incidental Findings of Asymptomatic Fungal Infection |
| title_sort | incidental findings of asymptomatic fungal infection |
| url | http://dx.doi.org/10.1155/2022/3694968 |
| work_keys_str_mv | AT nishamanila incidentalfindingsofasymptomaticfungalinfection AT madhunair incidentalfindingsofasymptomaticfungalinfection AT huiliang incidentalfindingsofasymptomaticfungalinfection |