Evidence map›Paper›PMID 42861408›Full record

ArticleIDCases2026

An unusual presentation of chronic granulomatous invasive fungal rhinosinusitis: A case report and review of the literature.

Nasim Nouri, Somayeh Jahanabadi, Farahnaz Bidari Zerehpoosh, Maryam Haghighimorad, Nader Akbari Dilmaghani, Ilad Alavi Darazam

Abstract readCase Reports
In one paragraph

Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nasim NouriDepartment of Infectious Diseases and Tropical Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Somayeh JahanabadiDepartment of Infectious Diseases and Tropical Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farahnaz Bidari ZerehpooshDepartment of Pathology, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam HaghighimoradDepartment of Radiology, Loghman-Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Nader Akbari DilmaghaniDepartment of Otolaryngology, Head and Neck Surgery, Loghman-Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ilad Alavi DarazamDepartment of Infectious Diseases and Tropical Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Granulomatous chronic invasive fungal rhinosinusitis (GCIFR) is an atypical form of invasive fungal rhinosinusitis which affects immunocompetent middle-aged adults mainly due to Aspergillus flavus. It presents with symptoms like headache, facial pain, and proptosis, primarily affecting the ethmoid and maxillary sinuses, and can lead to serious complications. This report details a unique case of GCIFR treated with antifungal and corticosteroid therapy. Case presentation: A 27-year-old Persian male was admitted with left exophthalmia, diplopia, facial pain, and paresthesia. His symptoms began with a headache and facial pain, which progressed to exophthalmia and retroorbital pain. He has a history of allergic bronchopulmonary aspergillosis (ABPA) and bronchiectasis. Despite previous treatment with Itraconazole and Prednisolone, his condition worsened after stopping the medication. He experienced recurrent respiratory issues and eye problems, leading to a diagnosis of chronic granulomatous invasive fungal rhinosinusitis following a biopsy. MRI revealed fungal masses invading the cavernous sinuses, brain, and left orbit. He was treated with amphotericin B and hydrocortisone, which improved some symptoms but indicated severe, invasive fungal disease with orbital and brain involvement. Conclusion: GCIFR has a favorable outcome than other invasive types of fungal rhinosinusitis although it can present with multiple relapses. Management involves surgical debridement of the affected tissue and prolonged antifungal treatment for at least 6 months to minimize recurrence. Having the condition diagnosed at an early stage and treated prevents aggravated complications.

Indexed as

AspergillusGranulomatousInvasive fungalRhinosinusitis

Identifiers

PMID42861408
PMCPMC13654553

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.