Intra-antral application of an anti-fungal agent for recurrent maxillary fungal rhinosinusitis: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 6:245

First Online: 20 August 2012Received: 21 February 2012Accepted: 08 June 2012DOI: 10.1186-1752-1947-6-245

Cite this article as: Dunmade, A.D., Afolabi, O.A., Alabi, B.S. et al. J Med Case Reports 2012 6: 245. doi:10.1186-1752-1947-6-245

Abstract

IntroductionFungal infection of the paranasal sinuses is an increasingly recognized entity both in immunocompetent and immunocompromised individuals. Treatment has been via use of either surgical or medical modalities, or a combination of the two. Here, we present a case of utilization of intra-antral application of an anti-fungal agent in the management of recurrent fungal sinusitis in an indigent Nigerian patient.

Case presentationWe present the case of a 30-year-old West African Yoruba man, an indigent Nigerian clergyman, who presented to our facility with a history of recurrent nasal discharge about one year, recurrent nasal blockage about five months, and right facial swelling about one week. After intra-nasal antrostomy for debulking with a systemic anti-fungal agent, our patient had a recurrence after four months. Our patient subsequently had an intra-antral application of flumetasone and clioquinol Locacorten®-Vioform® weekly for six weeks with improvement of symptoms and no recurrence after six months of follow-up.

ConclusionsWe conclude that topical intra-antral application of anti-fungal agents is effective in patients with recurrent fungal maxillary sinusitis after surgical debulking.

KeywordsFungal sinusitis intra-antral application recurrence surgical debulking Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-6-245 contains supplementary material, which is available to authorized users.

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Author: Adekunle D Dunmade - Olushola A Afolabi - Biodun S Alabi - Segun Segun-Busari - Olubisi A Koledoye

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