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KMID : 0390220180290020264
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2018 Volume.29 No. 2 p.264 ~ p.268
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An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball
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Jung Young-Do
Kim Bo-Mun
Kang Byung-Jun
Shin Seung-Heon
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Abstract
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Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.
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KEYWORD
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Chronic invasive fungal sinusitis, Fungal ball, Osteomyelitis
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