Allergic fungal rhinosinusitis presenting with intracranial spread along large sphenoidal emissary foramen

Abstract A 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a...

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Detalles Bibliográficos
Autores principales: Lisac, Robert R., Garber, Matthew, Mirza, Ayesha, Shah, Chetan C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817427/
https://www.ncbi.nlm.nih.gov/pubmed/33511029
http://dx.doi.org/10.1016/j.mmcr.2021.01.001
Descripción
Sumario:Abstract A 13-year-old girl was admitted for headache, right periorbital swelling and erythema. CT imaging demonstrated right orbital preseptal cellulitis, severe pansinusitis and suspected epidural abscess. Brain MRI and sinus CT confirmed an epidural abscess in the right middle cranial fossa and a second extra-cranial abscess in the right infratemporal fossa along with large right sphenoidal emissary foramen. Drainage from sinus surgery confirmed allergic fungal rhinosinusitis. She was treated with prednisone and voriconazole.

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