Vides LR, Eduardo MH, Alonso SF, Méndez HA, Guandique MA

Language: Spanish
References: 16
Page: 116-121
PDF size: 310.07 Kb.

ABSTRACT

Previously confirmed the correlation with allergic sinusitis aspergillosis (allergic fungal rhinosinusitis) and types of allergic broncho-pulmonar aspergillosis. Recently exist a reports when notify fungal infections in normal and immunocompetent patients. We informed a children´s case with rhinorrea and nasal obstruction in the last year. He to breathe by the mouth and to expel snot secretion with semisolids scabs provenients to nose left. The patient was put under endoscopic surgery of the paranasales sines. In the intervention two great polyps of the etmoides extirpated themselves previous. When acceding to the etmoides later was a full compartment of thick material (semisolid) of dark brown color, surrounded by a noticeable thickening of the mucosa that conserved its integrity and moved the papiracea lamina of the etmoides in lateral form. Later the previous wall of the esfenoidal sine was opened and identified a new compartment, greater to previous, the full one of the same material, this one surrounded the optical nerve and the artery internal carotid. By means of the histopatologic examination the existence of Aspergillus sp was verified. The medical treatment was voriconazole 400 mg/día/vía oral during three months with satisfactory results.

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