Facial paralysis due to invasive Aspergillus of the temporal bone in an immunocompetent child

Summary 

Fungal mastoiditis caused by Aspergillus fumigatus predominantly occurs in immunocompromised patients. However, few cases were reported in the immunocompetent patients. These cases are usually challenging to cope with in terms of diagnosis and treatment. Facial nerve dysfunction is one of the accompanying complications of fungal mastoiditis. We present a case of facial paralysis due to fungal mastoiditis in a 5-year-old immunocompetent child. She had a history of prolonged use of broad spectrum antibiotics due to meningitis and ear surgery.

Keywords: Facial nerve paralysis, Aspergillus, Immunocompetent, Temporal bone, Child