Vivanco Allende A, Coca Pelaz A, Vivanco Allende B, Llorente Pendás J L
Servicio de Pediatría del Hospital Universitario Central de Asturias, España.
An Pediatr (Barc). 2010 Jul;73(1):47-50. doi: 10.1016/j.anpedi.2010.04.007. Epub 2010 May 26.
In the last few years an increase has been observed in the incidence of fungal sinusitis in immunocompetent subjects. We present a case of mycotic sinusitis in a 12-year-old patient, in which there were several aspects that could have made the diagnosis more difficult, thus delaying her definitive treatment. This case illustrates how to arrive at a correct diagnosis of this pathology. It must be based on the histological and radiological studies, but always without forgetting a key aspect as it is a suspected diagnosis. The treatment of fungal sinusitis is surgical, and currently, endoscopic sinus surgery is the choice. We describe the clinical characteristics of this pathology and the diagnostic methods required.
在过去几年中，免疫功能正常的受试者中真菌性鼻窦炎的发病率有所上升。我们报告一例12岁患者的霉菌性鼻窦炎病例，该病例存在几个可能使诊断更加困难的方面，从而延误了她的最终治疗。本病例说明了如何对这种疾病做出正确诊断。诊断必须基于组织学和放射学研究，但始终不要忘记一个关键方面，即这是一个疑似诊断。真菌性鼻窦炎的治疗是手术治疗，目前，鼻内镜鼻窦手术是首选。我们描述了这种疾病的临床特征以及所需的诊断方法。
