构巢曲霉菌引起侵袭性真菌性鼻窦炎1例

The invasive fungal rhino-sinusitis cased by aspergillus nidulans:one case report

1病例报告患者,女,51岁。以右侧颌面部刺痛伴肿胀2个月、加重2周为主诉于2015年10月10日入院。否认糖尿病、高血压病史,有常年贫血病史。体检：右眼睑肿胀,右侧结膜水肿,眼球运动正常,未感复视,右侧颌面部及鼻背部肿胀,压痛（＋）,右侧眶下缘钝,眶下饱满膨出。鼻内镜下示：右侧鼻腔内可见大量脓性分泌物;鼻窦CT示：右侧上颌骨占位,侵犯眼眶,右侧眼眶下壁及上颌窦外侧壁部分骨质缺如.

This report described a case of the invasive fungal sinusitis cased by asperigillus.A 51 years old women patient complained a sense of welling on right facial,mild pain.No complain of facial numbness and toothache.During the 2 months the symptom repeatedly occurrence.A combined treatment including endoscopic sinus surgery（ESS）and anti-fungal therapy was performed in a patient with invasive fungal rhino-sinusitis.After 3 months of operation,the patient recovered well.No recurrence、no jaw facial pain and swelling,no eye movement disorder.