颞下窝非典型孤立性感染：一项诊断挑战。
Atypical Isolated Infections of the Infratemporal Fossa: A Diagnostic Challenge.
作者信息
Tan Sien Hui, Chong Aun Wee, Prepageran Narayanan
机构信息
Department of Otorhinolaryngology, Faculty of Medicine, University Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia.
出版信息
Iran J Otorhinolaryngol. 2015 Sep;27(82):391-4.
INTRODUCTION
Atypical infratemporal fossa infections are rare and potentially fatal.
CASE REPORT
A case of an aspergillosis localized in the infratemporal fossa and another case of tuberculosis of the infratemporal fossa originating from the maxillary sinus, is described. The first patient was immunocompromised and showed symptoms of facial numbness; whereas the other was an immunocompetent man who complained of trigeminal neuralgia type pain. It was difficult to differentiate between infection and tumour despite the utilization of computed tomography scans and magnetic resonance imaging.
CONCLUSION
These cases illustrate the need for a high index of suspicion; in addition to endoscopic confirmation and histopathology to establish precise diagnosis and early intervention.
引言
非典型颞下窝感染罕见且可能致命。
病例报告
描述了一例局限于颞下窝的曲霉病病例以及另一例起源于上颌窦的颞下窝结核病例。首例患者免疫功能低下，表现出面部麻木症状；而另一例是免疫功能正常的男性，主诉三叉神经痛样疼痛。尽管使用了计算机断层扫描和磁共振成像，但仍难以区分感染和肿瘤。
结论
这些病例表明需要高度怀疑；除了内镜确认和组织病理学检查以建立准确诊断并进行早期干预。
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