真菌球型鼻窦炎合并鼻窦异物1例

One case of fungal sinusitis foreign body in nasal sinus

患者,女,33岁,因反复右侧鼻腔流涕3月余入院。患者3个月前无明显诱因出现右侧鼻腔流涕,呈黄绿色脓涕,伴恶臭味,无发热,无明显牙痛或异物进入鼻腔史;2个月前曾于口腔科就诊,拔除右上第一前磨牙（包括根管内填充材料）,口服吉诺通、拜复乐治疗,症状无明显缓解,并逐渐出现右眼胀满不适,无发热、牙龈流脓,无复视、视力下降等;5年前曾行右上第一前磨牙根管治疗;有＂结节性红斑狼疮＂病史8年,

A young female complained repeated nasal discharge for over three months with discomfort of right cheek,and oral antibiotics had less effect.She has a history of ＂root canal therapy＂ five years before.Physical examination found purulent secretion in the right middle nasal meatus,and light tenderness in the right side of the maxillary sinus area.The CT scan of paranasal sinus shown possible fungal infection of right maxillary sinus.Finally the nasal endoscopic surgery confirmed the fungus ball of right maxillary sinus with foreign body（the root canal filling material）.