%0 Journal Article
%T Allergic Fungal Rhinosinusitis and Contralateral Chronic Granulomatous Invasive Fungal Sinusitis: A Case Report.
%A Saito K
%A Goto F
%A Yamamoto H
%A Kaneda S
%A Inagi T
%A Sakai A
%A Ebisumoto K
%A Maki D
%A Iijima H
%A Okami K
%J Ear Nose Throat J
%V 0
%N 0
%D 2024 Jun 24
%M 38912729
%F 1.677
%R 10.1177/01455613241255466
%X This case report describes rare concomitant allergic fungal rhinosinusitis (AFRS) and chronic granulomatous invasive fungal sinusitis (CGIFS) in a 34-year-old woman with acute lymphoblastic leukemia and graft-versus-host disease (GVHD) post bone marrow transplantation. Initially presenting with rhinorrhea and nasal obstruction, the patient was diagnosed with AFRS in the right maxillary sinus, followed by a postoperative course of CGIFS in the left nasal cavity, showcasing the unique occurrence. She was not immunocompromised during diagnosis. CGIFS may have occurred because of surgery; however, voriconazole led to significant improvement. This case highlights noninvasive and invasive fungal infections in patients with chronic rhinosinusitis and a history of GVHD and underscores the complexity of diagnosing and managing such cases.