Complications of Allergic Fungal Sinusitis

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Presentation transcript:

Complications of Allergic Fungal Sinusitis Sarah Bozeman, DO, Richard deShazo, MD, Scott Stringer, MD, Leigh Wright, BA The American Journal of Medicine Volume 124, Issue 4, Pages 359-368 (April 2011) DOI: 10.1016/j.amjmed.2010.12.005 Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 1 Sinus computed tomography of our patient in the ophthalmic complications group after removal and debridement of a destructive mass of allergic mucin originating from the sphenoid sinus and the left ethmoid sinus with erosion into the cavernous sinus and the left orbital apex. There has been left globe exoneration (white arrow), resection of the left frontal sinus, left lamina papyracea, and left middle turbinate along with bilateral maxillary antrectomies. Mucosal thickening of the maxillary sinuses remains (2 small black arrows) as does extensive opacification of the right ethmoid air cells with presence of hyperdense material (black arrow with white point). There is also mucosal thickening of the sphenoid sinuses with opacification of the right frontal sinus. The American Journal of Medicine 2011 124, 359-368DOI: (10.1016/j.amjmed.2010.12.005) Copyright © 2011 Elsevier Inc. Terms and Conditions

Figure 2 Chest computed tomography of the patient from our cohort with sinobronchial allergic mycosis (SAM) syndrome showing central bronchiectasis of a segmental bronchi on the left (white arrow) and 2 pulmonary nodules on the right (black arrows). The American Journal of Medicine 2011 124, 359-368DOI: (10.1016/j.amjmed.2010.12.005) Copyright © 2011 Elsevier Inc. Terms and Conditions