Royal Surrey County Hospital, Guildford, United Kingdom.
Pan Afr Med J. 2021 Oct 13;40:95. doi: 10.11604/pamj.2021.40.95.28261. eCollection 2021.
Sino-orbital aspergillosis is an uncommon but aggressive infection. It rarely originates from the frontal sinus due to the complex anatomy of the frontal recess and anteromedial position of its ostium. An 87-year-old man of Nigerian heritage with a history of multiple myeloma, chronic kidney disease and type 2 diabetes, presented to the eye clinic with a right tense swollen eyelid and proptosis. Computed tomography (CT) and magnetic resonance imaging (MRI) scan revealed a right superomedial mass communicating with the frontal sinus and biopsy confirmed an orbital aspergilloma. The patient was successfully treated with debulking surgery and anti-fungal treatment despite developing side effects to the drugs. To improve prognosis, ophthalmologists should be aware of this distinct entity and use a multi-disciplinary approach.
鼻窦曲霉菌病是一种不常见但具侵袭性的感染。由于额窦复杂的解剖结构和其口的前内侧位置，它很少起源于额窦。一位 87 岁的尼日利亚裔男性，患有多发性骨髓瘤、慢性肾脏病和 2 型糖尿病，因右眼紧张性肿胀的眼睑和眼球突出而到眼科就诊。计算机断层扫描（CT）和磁共振成像（MRI）扫描显示右侧眶顶内侧肿块与额窦相通，活检证实为眶曲霉病。尽管患者对药物产生了副作用，但通过减瘤手术和抗真菌治疗，他成功地得到了治疗。为了改善预后，眼科医生应该意识到这种特殊的实体，并采用多学科的方法。
