Lopachin Tyler, Landers Grace
Naval Medical Center Portsmouth, Department of Emergency Medicine, Portsmouth, Virginia.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):569-571. doi: 10.5811/cpcem.2020.4.46866.
Allergic fungal sinusitis (AFS) is a relatively uncommon cause of sinus pain and congestion. Extreme cases may require specialty evaluation and surgical treatment.
In this case, an otherwise healthy young man presented to the emergency department with sinus pain and congestion for two weeks and was admitted to surgery for resection of his AFS.
This case demonstrates how a thorough history and physical exam can help catch potentially serious diseases, such as allergic fungal sinusitis, from the frequently benign chief complaint of sinus pain.
变应性真菌性鼻窦炎(AFS)是引起鼻窦疼痛和充血的相对不常见原因。极端病例可能需要专科评估和手术治疗。
在本病例中,一名原本健康的年轻男子因鼻窦疼痛和充血两周就诊于急诊科,并因变应性真菌性鼻窦炎切除术而入院接受手术。
本病例表明,详尽的病史和体格检查有助于从鼻窦疼痛这一常见的良性主诉中发现潜在的严重疾病,如变应性真菌性鼻窦炎。