Landa Aranzábal M, Rivas Salas A, Rodríguez García L, Abrego Olano M, Gorostiaga Aznar F, Algaba Guimera J
Servicio de ORL, Residencia Sanitaria Nuestra Señora de Aránzazu, San Sebastián.
Acta Otorrinolaringol Esp. 1996 Jul-Aug;47(4):321-4.
A case of semi-invasive maxillary aspergillosis that presented with epiphora and responded well to surgical treatment is reported. Sixteen percent of cases of chronic sinusitis are produced by mycosis (particularly aspergillosis). The infection may be limited to the affected sinus (non-invasive forms) or may destroy the sinus wall, without tissue invasion (semi-invasive forms) or with tissue invasion (invasive forms). The diagnosis is mainly histological. Cultures present a high percentage of false positives and negatives. Treatment consists of surgical debridement of the sinus. Systemic amphotericin B is reserved for invasive aspergillosis (particularly fulminant cases).
报告了1例表现为泪溢且手术治疗效果良好的半侵袭性上颌窦曲霉病。16%的慢性鼻窦炎病例由真菌病（尤其是曲霉病）引起。感染可能局限于受影响的鼻窦（非侵袭性形式），也可能破坏鼻窦壁，无组织侵袭（半侵袭性形式）或有组织侵袭（侵袭性形式）。诊断主要依靠组织学检查。培养结果假阳性和假阴性比例较高。治疗包括鼻窦手术清创。全身应用两性霉素B仅用于侵袭性曲霉病（尤其是暴发性病例）。
