急性侵袭性真菌性鼻窦炎并眶内感染1例

Clinical analysis of acute invasive fungal sinusitis with orbital infection

1病例报告 患者,男,48岁,因右侧颜面部麻木、疼痛、嗅觉减退10d,右眼视力下降伴右侧头痛1d就诊于神经外科。既往有高血压病史,无糖尿病史;有上呼吸道感染病史,并于外院行头孢类抗生素治疗;曾自行口服葡萄糖。入院检查：血压160/80mmHg（1mmHg=0.133kPa）,体重40kg,体温36.5℃。

The clinical manifestation of acute invasive fungal sinusitis was associated with facial pain,altered sense of smell,blindness and headache.Physical examinations show that dark brown nasal secretions with bone resorption in paranasal sinus.Radiographi parameters showed uneven density in paranasal sinus and intraorbital extension.Fungus smears and pathological examination can make a definitive diagnosis.