ENT-HNS Department, Mohammed VI University Hospital Center, Marrakech, Morocco.
Pan Afr Med J. 2020 Jul 30;36:234. doi: 10.11604/pamj.2020.36.234.23186. eCollection 2020.
The fungal nasal septum abscess is a rare localized invasive form of fungal rhinosinusitis. Rare cases have been described in the literature. In this article, we intend to describe a new case of fungal nasal septum abscess caused by Aspergillus flavus in diabetic patient after sinonasal surgery. A 53-year-old woman with a history of uncontrolled type 2 diabetes and asthma developed a nasal septum abscess after a sinonasal endoscopic surgery which was performed for nasal polyposis. Needle aspiration of the abscess was performed and the pus cultures were positive for Aspergillus flavus. The patient was treated with antifungal drugs and surgical drainage of the abscess. A clinical and biological improvement was observed. Her case has been followed up for 18 months, and there hasn't been any recurrence of the infection. The fungal nasal septum abscess should be suspected in patients who do not respond adequately to standard treatment of nasal septum abscess, especially patients with risk factors of fungal rhinosinusitis.
真菌性鼻中隔脓肿是一种罕见的局部侵袭性真菌性鼻-鼻窦炎。文献中已有少数病例报道。本文旨在描述一例新的糖尿病患者鼻窦内窥镜手术后由黄曲霉菌引起的真菌性鼻中隔脓肿。一名 53 岁女性，患有 2 型糖尿病且控制不佳，哮喘，在接受鼻息肉鼻窦内窥镜手术后发生鼻中隔脓肿。脓肿行针吸抽吸，脓液培养为黄曲霉菌阳性。患者接受抗真菌药物治疗和脓肿切开引流。临床和生物学改善得到观察。她的病例已随访 18 个月，未再出现感染复发。对于那些对鼻中隔脓肿标准治疗反应不佳的患者，尤其是有真菌性鼻-鼻窦炎危险因素的患者，应怀疑真菌性鼻中隔脓肿。
