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면역 정상인에서 발생한 두경부의 침습성 아스페르길루스증 1례

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Affiliated Authors
김현아류성열정혜라김엘
Alternative Author(s)
Kim, Hyun AhRyu, Seong YeolJung, Hye RaKim, El
Journal Title
Keimyung Medical Journal
Issued Date
2014
Keyword
Brain neoplasmImmunocompetenceNeuroaspergillosis
Abstract
Aspergillosis of the central nervous system from sinonasal origin is rare in immunocompetent hosts. Due to the rarity of the cases in immunocompetent hosts, only few cases are reported in the previous literature. But, some cases reported diversity of clinical presentations in immunocompetent hosts. Aspergillosis of the central nervous system from sinonasal origin, bony invasion with only orbit or cranial base was more common than intracerebral aspergillosis in immunocompetent hosts. In this type of disease, although maxillary sinus is more commonly involved, sphenoid sinus and clivus are unusual sites for aspergillosis of central nervous system. Because of the anatomical position of sphenoid sinus, it is associated with poor prognosis with intracranial extension. We reported a case of the aspergillosis of central nervous system involving clivus in the immunocompetent host who was misdiagnosed as metastatic tumor or plasmacytoma due to the unusual location and host factor.
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