[Ethmoid-orbital mycetoma caused by Bipolaris sp. Case report].

In February 2013, a male patient aged 44 presented at the surgery with a bilateral nasal obstruction, thick nasal discharge and anosimia, with no ophthalmologic symptoms. He mentioned previous episodes of bronchospasms caused by taking aspirin prescribed as prophylaxis for ischaemic heart disease. The nasal cavity endoscopy study findings showed severe bilateral nasal polyposis with abundant, thick endonasal secretion. Paraclinical tests: X-rays showed significant opacification of all paranasal sinuses with imaging of calcium intensity at right ethmoid recess level, which had eroded the ethmoidal sinus and had invaded the orbital cavity, causing a slight displacement of the medial rectus muscle (Fig. 1A and B). The CT and MRI scans showed no signs of infiltration or spread of this inside the orbital contents (Fig. 1C and D). Findings from laboratory tests showed an increase in the number of eosinophils in peripheral blood of 600 per mm and high IgE levels of 980 ng/ml. Diagnoses of inflammatory disease of the upper respiratory tracts, induced by salicylates (Samter and Beers triad, Fernand Widal syndrome) and ethmoid mycetoma with intraorbital compromise were suggested.