Invasive Fungal Sinusitis with Ophthalmological Complications: Case Series and Review of the Literature.

Coutel, Maëlle;Duprez, Thierry;Huart, Caroline;Wacheul, Emilie;Boschi, Antonella
(2021) Neuro-Ophthalmology — Vol. 45, n° 3, p. 193-204 (2021)

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Authors
  • Author
  • Duprez, Thierryorcid-logoUCLouvain
    Author
  • Author
  • Wacheul, EmilieUCLouvain
    Author
  • Boschi, AntonellaUCLouvain
    Author
Abstract
Invasive fungal sinusitis can lead to dramatic complications in immunocompromised patients and requires prompt diagnosis. Here we report three cases with ophthalmological complications secondary to invasive fungal sinusitis in immunocompromised patients. From an ophthalmological point of view, these cases illustrate different clinical presentations, evolutions, complications, treatments, prognoses, and highlight different pathophysiological mechanisms. Diagnoses were delayed in all cases. In none of the cases did patients recover better vision than counting fingers at 24 months follow up, and two patients died. This case series highlights key points useful for quickly recognising this highly morbid infection in immunocompromised patients.
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Citations

Coutel, M., Duprez, T., Huart, C., Wacheul, E., & Boschi, A. (2021). Invasive Fungal Sinusitis with Ophthalmological Complications: Case Series and Review of the Literature. Neuro-Ophthalmology, 45(3), 193-204. https://doi.org/10.1080/01658107.2020.1779315 (Original work published 2021)