Alazzawi Sarmad, Shahrizal Tengku, Prepageran Narayanan, Pailoor Jayalakshmi
Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Qatar Med J. 2014 Jun 16;2014(1):57-60. doi: 10.5339/qmj.2014.10. eCollection 2014.
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.
孤立性蝶窦病变是一种罕见的病症，表现为非特异性症状。在本病例报告中，患者有一个月的头痛病史，无鼻窦症状。计算机断层扫描显示一个软组织肿块占据蝶窦。内镜活检显示真菌感染。随后进行了内镜下广泛蝶窦切开术并切除蝶窦病变，然而，术后微生物学检查未发现任何真菌成分。相反，柠檬酸杆菌属被认为是感染的原因。
