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Br J Ophthalmol 88:681-687 doi:10.1136/bjo.2003.021725
  • Clinical science
    • Extended reports

Localised invasive sino-orbital aspergillosis: characteristic features

Table 1

Review of literature: sino-orbital invasive Aspergillus fumigatus in immunocompetent individuals

Case Age (years), sex Initial complaint Had temporal arteritis? Treated with steroids? Other treatment Outcome* Start in sphenoid†
*Time to death is approximated from initial complaint from information in the case reports. If there was no follow up or not enough information given, the case was not included in this table.
†Recorded as “yes” if computed tomography or specific description in reference given. If more than one site involved, the reference was not categorised as having a lesion that started in the sphenoid sinus.
Green et al, 1969 (case 3) 71, male Pain Not reported Dead 8 months later
Green et al, 1969 (case 6) 84, male Pain Yes Yes Not reported Dead 6 weeks later
Green et al, 1969 (case 10) (identified as Aspergillus species) 50, female Pain Debridement; amphotericin B Dead 16 months later
Hedges & Leung, 1976 62, female Headache then severe pain Yes Debridement and amphotericin B Dead 5 months later
Yu et al, 1980 37, male Pain Surgery; amphotericin B; rifampin; flucytosine Alive at 1 year
Spoor et al, 1982 49, female Pain Yes Amphotericin B and rifampin Dead 2 months Yes
Austin et al, 1983 77, male Pain Yes Yes Debridement; amphotericin B Dead 11 months later
Fuchs et al, 1985 48, female Pain Surgery; amphotericin B; rifampin Alive at 1month Yes
Lowe & Bradley, 1986 74, female Headache None Dead 12 months later
Bradley et al, 1987 74, female Pain Yes Yes Amphotericin B; flucytosine; ketoconazole; vibunazole Stable at 2 years
Slavin, 1991 65, male Left sided headache then severe pain Yes Amphotericin B Dead 2 months later Yes
Heier et al, 1994 (case 3) 21, female Painless proptosis Amphotericin B Alive at 6 months
Mauriello et al, 1995 (case 5) 71, female Pain Debridement; amphotericin B then liposomal amphotericin B; local amphotericin B Dead 4 months later
Suzuki et al, 1995 83, female Headache Yes None Dead 6 months later
Massry et al, 1996 40, female Nasal congestion Debridement; amphotericin B; itraconazole Stable at 10 years
Hutnik et al, 1997 75, male Decreased vision Yes, despite negative biopsy Yes Amphotericin B and fluconazole Dead 2 months later Yes
Streppel et al, 1999 50, female “Acute sinusitis” Amphotericin B; debridement; liposomal amphotericin B; Postoperative itraconazole Dead 16 months later

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