Dataset Information

Endoscopic endonasal resection of a Drechslera hawaiiensis sphenoid fungal ball.

ABSTRACT:

Background

Fungal infections should always be considered in difficult-to-treat paranasal sinus conditions. Sphenoid fungal balls are characterized by the presence of dense fungal masses in the sinus cavity without invasion of surrounding tissues. This case emphasizes the importance of accurate terminology and management and also highlights the involvement of rare pathogens such as Drechslera hawaiiensis. Diagnosis is typically based on imaging studies and intraoperative findings. Accurate identification of the pathogen is crucial. Fungal infections of the paranasal sinuses, including fungus balls, can present challenges in diagnosis and treatment. D. hawaiiensis, although infrequent, can cause potential life-threatening infections.

Case description

We present a 26-year-old non-HIV male patient who presented with nasal symptoms and mild headaches. The patient underwent an endoscopic exploration that revealed a soft, grayish lesion with a buttery consistency. Gross total resection was achieved and the lesion was identified as being caused by D. hawaiiensis; thus, intravenous antifungal treatment was given.

Conclusion

Endoscopic surgery remains the preferred approach for disease control. Considering alternative treatments and exploring novel approaches are essential in managing complex pathologies in neurosurgical practice.

SUBMITTER: Lara-Olivas JA

PROVIDER: S-EPMC10559376 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Endoscopic endonasal resection of a <i>Drechslera hawaiiensis</i> sphenoid fungal ball.

Lara-Olivas Jorge Armando JA Sangrador-Deitos Marcos V MV Marian-Magaña Ricardo R Padilla-Leal Karen Elizabeth KE Soto-Hernández José L JL Gomez-Amador Juan L JL

Surgical neurology international 20230908

<h4>Background</h4>Fungal infections should always be considered in difficult-to-treat paranasal sinus conditions. Sphenoid fungal balls are characterized by the presence of dense fungal masses in the sinus cavity without invasion of surrounding tissues. This case emphasizes the importance of accurate terminology and management and also highlights the involvement of rare pathogens such as <i>Drechslera hawaiiensis</i>. Diagnosis is typically based on imaging studies and intraoperative findings. ...[more]

PMID: 37810321

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