Aspergillus brain abscess complicating allergic Aspergillus sinusitis

sicca complex include recurrent otitis media, chronic sinusitis, gingivitis, and dental caries. Systemic complications may be manifested as organspecific autoimmune disorders.’ There are no universally accepted criteria for the diagnosis of SS. The diagnosis is established by performing an ophthalmologic examination and a minor salivary gland biopsy. The ophthalmologic examination includes a Schirmer’s test and a rose bengal dye test to confirm keratoconjunctivitis sicca. If autoantibodies (i.e., antibody to nuclear antigens, rheumatoid factors, anti-Rio, anti-La) are present, they add confirmation to the diagnosis of SS or related autoimmune diseases. The absence of autoantibodies, however, does not rule out the diagnosis of SS. Roentgenographic diagnosis of lung complications in SS is greatly aided by CT. Plain chest CT images did not demonstrate lymphomatous changes or bronchiectasis in our patient. Highresolution CT images easily demonstrated bronchiectasis. High-resolution CT has been shown to be a sensitive tool for diagnosing bronchiectasis.” Symptomatic relief and prevention of complications are important issues in treating SS. Medications or factors that exacerbate the drying of mucous membranes should be discontinued. Dry mucous membranes should be rehydrated. Infections are treated aggressively to prevent complications such as bronchiectasis. Patients with SS require close follow-up because of their propensity to develop lymphoproliferative disorders.‘, ‘* 5 High-resolution chest CT should be performed in patients who have pulmonary complications related to SS.