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Isolated sphenoid sinus lesion: A diagnostic dilemma.

Alazzawi S, Shahrizal T, Prepageran N, Pailoor J - Qatar Med J (2014)

Bottom Line: An endoscopic biopsy revealed fungal infection.Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements.Instead, Citrobacter species was implicated to be the cause of infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

ABSTRACT
Isolated sphenoid sinus lesions are an uncommon entity and present with non-specific symptoms. In this case report, the patient presented with a history of headaches for a duration of one month without sinonasal symptoms. A computed tomography scan showed a soft tissue mass occupying the sphenoid sinus. An endoscopic biopsy revealed fungal infection. Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements. Instead, Citrobacter species was implicated to be the cause of infection.

No MeSH data available.


Related in: MedlinePlus

Endoscopic view showing infected material inside the sphenoid sinus.
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fig3: Endoscopic view showing infected material inside the sphenoid sinus.

Mentions: An endoscopic excision with wide sphenoidotomy was performed soon after. All the debris and crustation were cleared out (Figure 3). There was no obvious involvement of the sphenoid sinus mucosa, and all its walls appeared intact. The patient felt well and headache free in the post-operative days. Amoxicillin-clavulanate was given for two weeks as part of the post-operative medications.


Isolated sphenoid sinus lesion: A diagnostic dilemma.

Alazzawi S, Shahrizal T, Prepageran N, Pailoor J - Qatar Med J (2014)

Endoscopic view showing infected material inside the sphenoid sinus.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4197375&req=5

fig3: Endoscopic view showing infected material inside the sphenoid sinus.
Mentions: An endoscopic excision with wide sphenoidotomy was performed soon after. All the debris and crustation were cleared out (Figure 3). There was no obvious involvement of the sphenoid sinus mucosa, and all its walls appeared intact. The patient felt well and headache free in the post-operative days. Amoxicillin-clavulanate was given for two weeks as part of the post-operative medications.

Bottom Line: An endoscopic biopsy revealed fungal infection.Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements.Instead, Citrobacter species was implicated to be the cause of infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

ABSTRACT
Isolated sphenoid sinus lesions are an uncommon entity and present with non-specific symptoms. In this case report, the patient presented with a history of headaches for a duration of one month without sinonasal symptoms. A computed tomography scan showed a soft tissue mass occupying the sphenoid sinus. An endoscopic biopsy revealed fungal infection. Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements. Instead, Citrobacter species was implicated to be the cause of infection.

No MeSH data available.


Related in: MedlinePlus