Abstract
Aspergillosis of the sphenoid sinus is a rare condition. The causative agent is most often Aspergillus fumigatus. We report this case of an immunocompetent 16-year-old woman with no specific medical history who presented with severe chronic headache, retro orbital pain, associated with nasal obstruction. The clinical examination showed a polyp filling the left nasal cavity with a left exophthalmos.
Highlights
Sphenoidal aspergillosis is a rare condition that is difficult to diagnose
The causative agent is most often Aspergillus fumigatus. We report this case of an immunocompetent 16-year-old woman with no specific medical history who presented with severe chronic headache, retro orbital pain, associated with nasal obstruction
In magnetic resonance imaging (MRI), this lesion was in T1 isosignal, heterogeneous T2 hypersignal and enhanced heterogeneously by gadolinium
Summary
Sphenoidal aspergillosis is a rare condition that is difficult to diagnose. The most common pathogen is the Aspergillus fumigatus. We report a case of sphenoidal aspergillosis in a young immunocompetent patient. The facial CT scanshowed a revealed a spontaneously heterogeneous left sphenoidal and ethmoid-nasal lesional process with calcifications inside it, with discrete homolateral exophthalmos (Figure 1). The MRI found a sphenoidal and ethmoid-nasal left polylobed process isosignal in T1, hypersignal in T2 and heterogeneously enhanced by gadolinium (Figure 2). The surgical exploration found a polyp emanating from the left sphenoidal sinus which was Citation: Elbouderkaoui M, Lakhdar Y, Rochd S, Benhoummad O, Rochdi Y, et al (2020) Sphenoidal Aspergillosis in an Immunocompetent Patient. A good and careful cleaning of the sphenoid sinus cavity was performed with aspirating of the aspergillar truffles. Pathological examination confirmed the diagnosis of aspergillosis by showing aspergillar mycelial filaments. The evolution was favorable with disappearance of the headaches after one year
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