Granulomatous Invasive Aspergillus flavus Infection Involving the Nasal Sinuses and Brain. (26th April 2018)

• Record Type: Journal Article
• Authors: Jariwal, Roopam; Heidari, Arash; Sandhu, Ahana; Patel, Janushe; Shoaepour, Kamelia; Natarajan, Piruthiviraj; Cobos, Everardo
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 6(2018)
• Publication Date: 2018-04-26
• Subjects: granulomatous invasive Aspergillus flavus -- immunocompetent host -- Indian origin -- rhinosinusitis -- voriconazole -- skull and retro-orbital structures -- maxillary sinus; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709618770473
• Languages: English
• ISSNs: 2324-7096

Abstract

Invasive fungal infections are commonly associated with some form of immunosuppression. On the nasal epithelial surface, Aspergillus flavus, under favorable conditions, can aggressively breach multiple cell lines invading the local tissues. We present the case of a 35-year-old woman with granulomatous invasive Aspergillus flavus infection involving the nasal sinuses and the brain. Antifungal agents administered in the previous episodes contained the infection; however, the infected site evolved over time surrounded with calcified tissues in the left maxillary sinus. The current infection involved the other side of the maxillary sinus and extended to the orbital cavity eroding the parts of the skull and retro-orbital structures and was treated with a long course of isavuconazole therapy.