Fanucci E, Nezzo M, Neroni L, Montesani L, Ottria L, Gargari M
Department of Diagnostic Radiology - Ospedale San Pietro F.B.F., Rome, Italy.
Department of Clinical Sciences and Translational Medicine - University of Rome "Tor Vergata", Rome, Italy.
Oral Implantol (Rome). 2014 Apr 4;6(3):63-6. eCollection 2013 Mar.
In recent years the incidence of fungal sinusitis has increased considerably, due both to increased survival of patients at risk and to improved diagnostic equipment. The pathogen responsible in most cases is the Aspergillus in its forms Fumigatus, Flavus and Niger. The diagnosis is often delayed because the symptoms, characterized by headache, cough, and facial algia, are generally similar to that of chronic bacterial rhinosinusitis. It can be divided into invasive and non-invasive forms based on the clinical evolution and extent of the lesion. We report a case of non-invasive fungal rhinosinusitis in a patient with recurrent sinusitis and pain in the left maxillary region, resistant to antibiotic therapy.
近年来，由于高危患者生存率的提高以及诊断设备的改进，真菌性鼻窦炎的发病率显著上升。大多数情况下的致病病原体是烟曲霉、黄曲霉和黑曲霉。由于以头痛、咳嗽和面部疼痛为特征的症状通常与慢性细菌性鼻-鼻窦炎相似，诊断往往会延迟。根据临床病程和病变范围，可分为侵袭性和非侵袭性两种类型。我们报告一例患有复发性鼻窦炎且左上颌区域疼痛、对抗生素治疗耐药的非侵袭性真菌性鼻-鼻窦炎病例。
