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Scytalidium dimidiatum associated invasive fungal sinusitis in an immunocompetent patient

Published online by Cambridge University Press:  02 October 2014

A Hariri ,
N Choudhury  and
H A Saleh
A Hariri*
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, UK
N Choudhury
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, UK
H A Saleh
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, UK
*
Address for correspondence: Dr Ahmad Hariri, Department of ENT, Charing Cross Hospital, Fulham Palace Road, London W6 9NT, UK Fax: 0203 311 5088 E-mail: [email protected]
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Abstract

Background:

Scytalidium dimidiatum is a soil and plant pathogen that frequently affects fruit trees, but can also cause human infection. There are only two reported cases of invasive fungal sinusitis involving this rare micro-organism.

Objective:

This paper reports the first case of invasive fungal sinusitis caused by Scytalidium dimidiatum occurring in a young immunocompetent patient from a non-endemic region, and discusses potential sources of exposure and relevance of local factors.

Method:

Case report.

Results:

The patient was treated successfully with a combination of functional endoscopic sinus surgery, and antifungal and corticosteroid treatment.

Conclusion:

This paper describes the first reported case of invasive fungal sinusitis secondary to Scytalidium dimidiatum in a young immunocompetent patient from a non-endemic region. Importance is placed on following a systematic process of investigation and management, and adhering to well-defined basic surgical principles.

Keywords

Endoscopic Surgical ProcedureMycosesMangiferaPhaeohyphomycosisSinusitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 11 , November 2014 , pp. 1018 - 1021
Copyright
Copyright © JLO (1984) Limited 2014 

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