Invasive Species Compendium

Detailed coverage of invasive species threatening livelihoods and the environment worldwide

Abstract

Severe bilateral optic neuropathy and meningitis secondary to invasive maxillary sinus aspergillosis.

Abstract

The clinical presentation of maxillary aspergillosis with invasion of the skull base may mimic giant cell arteritis with anterior ischemic optic neuropathy, particularly in the elderly. Severe optic neuropathy and Aspergillus meningitis with balloon dilation with secondary invasion of the skull base are rare but potentially fatal. A hysterectomy in combination with antifungal agents should be performed as soon as possible because of the poor prognosis. Invasive aspergillosis of the anterior cranial base originating in the paranasal sinuses is a rare and often fatal condition. Although immunocompromised individuals with haematologic malignancies and diabetes are at increased risk of developing this condition, an increasing number of cases have been described in susceptible individuals. immunity. Aspergillosis that invades the forebrain of the skull can lead to irreversible blindness and should be considered in the differential diagnosis of ACG in elderly patients with headache and transient fibroids. Early diagnosis and prompt antifungal treatment are essential to prevent death, although visual function may be permanently impaired.