Fungus ball in concha bullosa, an unusual site: a case report from hilly region

Authors

  • Shaweta . Department of Otolaryngology- Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh
  • R. S. Minhas Department of Otolaryngology- Head and Neck Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh
  • Vineeta Sharma Department of Microbiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh
  • Santwana Verma Department of Microbiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh
  • Trilok C. Guleria Department of Health & Family Welfare, Indira Gandhi Medical College, Shimla, Himachal Pradesh

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20175648

Keywords:

Fungal ball, Concha bullosa, Rhinosinusitis, Endoscopic sinus surgery

Abstract

Fungus is a rare cause of rhinosinusitis in children. Its incidence has been reported as ranging between 13.5 and 28%. Fungus balls are extramucosal tangled masses of fungal hyphae. It commonly involves just one paranasal sinus. Most commonly maxillary sinus is involved and occasionally sphenoid sinus. Concha bullosa is one of the most common anatomical variations in the nasal cavity, with a frequency of reporting ranging from 14-53.6%. There are very few case reports in which Concha bullosa was affected with fungus ball. In this case report 13 years female child presented with complaints of swelling right cheek. The patient underwent endoscopic sinus surgery and there was involvement of concha bullosa and sphenoid sinus with fungus ball. Fungus was confirmed on microscopic examination and culture. Fungus ball is a rare presentation of fungal rhinosinusitis. It should be considered in enlarged middle turbinate with heterogenous opacity on CT. The diagnosis should be confirmed by microscopy or culture.

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Published

2017-12-22