Ophthalmoplegia due to Invasive Fungal Sinusitis: A Report of Three Cases

Ayşe Yağmur Çolak; Figen Gökçay; Neşe Çelebisoy; Ahmet Gökçay; Ayşe Güler; Hüsnü Pullukçu; Raşit Midilli; Sercan Gode

doi:10.4274/tnd.78045

Ayşe Yağmur Çolak¹, Figen Gökçay¹, Neşe Çelebisoy¹, Ahmet Gökçay¹, Ayşe Güler¹, Hüsnü Pullukçu², Raşit Midilli³, Sercan Gode³

¹Ege University Faculty of Medicine, Department of Neurology, Izmir, Turkey
²Ege University Faculty of Medicine, Department of Infectious Diseases, Izmir, Turkey
³Ege University Faculty of Medicine, Department of Ear, Nose and Throat, Izmir, Turkey

Keywords: Aspergillus, mycoses, ophthalmoplegia, sinusitis

Abstract

Invasive fungal sinusitis is an infection of the paranasal sinuses that should be diagnosed early due to its high mortality and morbidity rates. Mucormycosis and aspergillus are the two most important agents of invasive fungal sinusitis. Although usually seen in patients who are immunocompromised, they are rarely seen in immunocompetent patients. In this article, we present three patients with ophthalmoplegia; one patient with hematologic malignancy, and two patients with uncontrolled diabetes. By presenting these three patients with invasive fungal sinusitis, we aimed to emphasize the possible role of fungal sinusitis in the development of ophthalmoplegia in patients with diabetes or immunosuppression due to any reason, and the importance of early treatment.