Recurrent Pseudallescheria boydii sinusitis in acute leukemia.
Most episodes of fungal sinusitis in immunocompromised patients are caused by Aspergillus species. To treat such infections, surgical debridement and anti-fungal therapy have been recommended; it is also clear however that an adequate neutrophil count is important in controlling such infections. We report a case in which fungal sinusitis was shown to be due to P. boydii and in which the infection recurred over a period of 2 years during episodes of neutropenia in spite of vigorous surgical and medical therapy.
Leukemia/Bone Marrow Transplantation Program of British Columbia, Vancouver General Hospital, Canada.
A P
AP
Grigg
P
P
Phillips
S
S
Durham
J D
JD
Shepherd
D000328:Adult; D001955:British Columbia; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D015470:Leukemia, Myeloid, Acute / Q000150:complications*; D008271:Mycetoma / Q000382:microbiology*; D011541:Pseudallescheria; D012008:Recurrence; D012852:Sinusitis / Q000382:microbiology*