Abstract
A case of mycotic infection of the left sphenoid sinus is described.
A woman aged 65 with a history of corticosteroid therapy for about 3 years for rheumatoid arthritis complained pain in the medial part of the left deep orbit. Although chronic sphenoiditis was suspected by the scopic and radiological findings, irrigation of the sinus yielded the fungus mass in the irrigated material. An excellent result was obtained by repeated irrigation of the left sphenoid sinus. Although the genus of the fungus remained undetermined, aspergillotic saprophytic infection was highly suspected.
A review of 5 cases in the literature was presented.