Abstract

Frontal sinus aspergillosis is a rare infection that can be usually associated with immunocompromised states and life-threatening with high mortality rate. The authors report in a developing country a case of immunocompetent patient with left unilateral frontal headache, associated with left eye ptosis. The Brain CT Scan revealed frontal sinus aspergillosis. She underwent surgery followed by itraconazole cure. The outcome is successful after a period of 14 months with resolution of symptomatology. Anatomopathological examination confirmed aspergillosis. They share their experience of management of this disease in a country where neurosurgery is very young specialty and where molecules against aspergillosis are not available.

Highlights

  • Aspergillus is the most common fungal infection of the paranasal sinuses and usually appears as a chronic disease in an otherwise healthy patient

  • Frontal sinus aspergillosis is a rare infection that can be usually associated with immunocompromised states and life-threatening with high mortality rate

  • Frontal sinus aspergillosis is a rare infection that can be usually associated with immunocompromised states and life-threatening with high mortality rate [1]

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Summary

Introduction

Aspergillus is the most common fungal infection of the paranasal sinuses and usually appears as a chronic disease in an otherwise healthy patient. Frontal sinus aspergillosis is a rare infection that can be usually associated with immunocompromised states and life-threatening with high mortality rate [1]. The literature described a higher incidence of Aspergillus granuloma in Sudan, India, Pakistan and Saudi Arabia [2]. The frontal sinus is usually secondary to the participation of one of the other sinuses and it’s an underdiagnosed disease in immunocompetent patients. We report a case of an immunocompetent woman, agricultural worker in Central Africa country: Chad, with a unilateral frontal sinus aspergilloma and a review of literature

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