Intra-antral application of an anti-fungal agent for recurrent maxillary fungal rhinosinusitis: a case reportReportar como inadecuado

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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


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


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