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Papers of the Week

2021 Jun

Med Mycol Case Rep


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


Lisac RR, Garber M, Mirza A, Shah CC
Med Mycol Case Rep. 2021 Jun; 32:10-13.
PMID: 33511029.


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.