Journal
SKULL BASE-AN INTERDISCIPLINARY APPROACH
Volume 15, Issue 2, Pages 109-112Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-2005-870595
Keywords
ear; temporal bone; mastoid; fungal infection; immunosuppression; mycoses
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Fungal mastoiditis caused by Aspergillus fumigatus predominantly occurs in immunocompromised patients. Invasive temporal bone mycoses are rare. They are usually associated with host immunodeficiency, are difficult to diagnose, and many cases are fatal. Treatment consists of antifungal chemotherapy, surgical debridement, and attempts to control the underlying immunological condition. Published reports describe patients with previous ear pathology and associated facial nerve dysfunction. We report a case in a patient with systemic lupus erythematosus. A good outcome followed surgical debridement and the use of a new triazole antifungal agent, voriconazole. Our patient's facial nerve function was unaffected. The presence of normal facial nerve function, however, does not exclude the possibility of invasive fungal mastoiditis.
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