This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Yahya Ismail, MD; Edward L. Arsura, MD
Bakersfield, Calif

Arch Intern Med. 1994;154(7):815-819.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In response to Busch's letter, we believe that our patient's initial presentation was allergic fungal sinusitis.¹ However, invasive fungal sinusitis supravened, as evidenced by the multiple recurrences and the extent of soft-tissue invasion and the bony destruction that is shown in Figure 1 in our article. In addition, the aforementioned features are in accordance with the definition of invasive sinusitis, as described in the literature.^2-4 Furthermore, there have been numerous cases in the literature of invasive sinusitis characterized by tissue invasion resulting in bony destruction with extension into the orbit and/or intracranially, which occur in both immunocompetent and immunocompromised hosts.⁴

There is considerable support in the literature for the use of antifungal therapy, specifically amphotericin B, in both recurrent and invasive fungal sinusitis.⁵ Different treatment modalities have been tried alone or in conjunction with surgical resection, but there is not enough evidence that they are effective; . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?