Non-invasive fungal sinusitis in 1 case pathological examination of.doc

 PAGE \* MERGEFORMAT 5 Non-invasive fungal sinusitis in 1 case pathological examination of [Keywords:] fungal sinusitis fungal sinusitis is an uncommon disease, in recent years with broad-spectrum, highly efficient wide application of antibiotics and hormones, the emergence of new resistant strains and the improvement of diagnostic techniques, fungal sinus inflammation in clinical practice an increasing trend year by year. As is the north line of the region, dry climate, the disease is rare, in order to learn from each exchange, provides clinical data in this case, reduce misdiagnosis. 1 Clinical data Female patient, 53 years old, due to tears in the blood, headache, more than 4 years, in November 14, 2006 to consultation. Nearly 4 years of the left recurrent headaches, also found that nearly 1 year with a small amount of tears in the bloodshot. Intranasal microscopy: thickening of nasal congestion and edema, stenosis and cheese in the nasal secretions. CT examination: there are different degrees of maxillary sinus cavity and mixed with irregular high density high density cotton wool, a few with bone absorption and destruction. microscopic pathology: see a large number of fungal hyphae and spores, hyphae wound together to form clumps, that fungal ball. mucosal tissue without specific pathological changes, mainly chronic inflammation of mucosal tissues, ranging from the number seen lymphocytes, plasma cells around the vessels and the small amount of lamina propria eosinophils, neutrophil infiltration, and the other shows interstitial hemorrhage, vascular dilatation and congestion. ciliated columnar epithelium shorter, or associated with cubic-like scales -like metaplasia, mucus secretion strong. fungal culture confirmed Aspergillus. 2 Discussion Mold is an opportunistic pathogen, under normal circumstances is not easy cause the disease, but in the tissue damage, local inflammation, decreased body resistance, systemic wasting disease or long-te