Framme, Carsten ; Rosenfeld, Jochen ; Sachs, Helmut G.
Alternative Links zum Volltext:DOIVerlag
| Dokumentenart: | Artikel |
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| Titel eines Journals oder einer Zeitschrift: | Der Ophthalmologe |
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| Verlag: | SPRINGER VERLAG |
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| Ort der Veröffentlichung: | NEW YORK |
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| Band: | 97 |
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| Nummer des Zeitschriftenheftes oder des Kapitels: | 4 |
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| Seitenbereich: | S. 280-284 |
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| Datum: | 2000 |
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| Institutionen: | Medizin > Lehrstuhl für Augenheilkunde |
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| Identifikationsnummer: | | Wert | Typ |
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| 10.1007/s003470050527 | DOI |
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| Stichwörter / Keywords: | PARA-NASAL SINUSES; IMMUNODEFICIENCY-VIRUS INFECTION; LIPOSOMAL AMPHOTERICIN-B; FULMINANT ASPERGILLOSIS; PARANASAL SINUSES; FUNGAL SINUSITIS; NOSE; aspergillosis; orbital disease; fungal infections; visual loss; optic neuropathy |
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| Dewey-Dezimal-Klassifikation: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin |
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| Status: | Veröffentlicht |
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| Begutachtet: | Ja, diese Version wurde begutachtet |
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| An der Universität Regensburg entstanden: | Ja |
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| Dokumenten-ID: | 74353 |
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Web of Science
Zusammenfassung
Background: An isolated aspergillosis of the sphenoidal sinus is a difficult diagnosis because the often misleading clinical symptoms of this rare disease can develop late and first be presented to the ophthalmologist. Because of this even life-threatening disease in normally immunodeficient patients, fast diagnostics and treatment is indicated. Case Report:We report about an immunocompetent man ...
Zusammenfassung
Background: An isolated aspergillosis of the sphenoidal sinus is a difficult diagnosis because the often misleading clinical symptoms of this rare disease can develop late and first be presented to the ophthalmologist. Because of this even life-threatening disease in normally immunodeficient patients, fast diagnostics and treatment is indicated. Case Report:We report about an immunocompetent man to suffer from an invasive aspergillosis involving the sphenoidal sinus after external operation of a mucozele. Aspergillus infiltrated the right orbit by bone arrosion and led to an acute loss of vision on his right eye and a pathological visual field (visual acuity 0.1). A systemical antimycotic therapy was performed and the right orbit and the optical channel were operated to remove the mycosis. During operation the optical nerve was found to be completely surrounded by the mycosis. After surgery visual acuity recovered slowly but completely in about two weeks (visual acuity 1.0) and visual field examination revealed normal findings. These findings were stable now for one year. Conclusion:The main findings of unilateral acute Visual loss and pre-operations of the paranasal sinuses in combination with persistent headache can lead to the suspect of an aspergillosis infection. It is important to establish correct diagnosis - especially in immunocompetent patients - early to prevent a probably irreversible visual loss and in an advanced stage to handle the life-threatening risk of this disease.
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