Concurrent chromomycosis and aspergillosis of the maxillary sinus.
The authors describe a rare case of an infection of both the chromomycosis and aspergillosis of the maxillary sinus in an immunocompetent 72-year-old female who presented with progressive visual loss and dull aching pain of the left eye. Sinuscopy of the left maxillary sinus showed swelling of the mucosa with clay-like materials. Biopsy from the left maxillary sinus showed the typically characteristic morphology of chromomycosis and culture from sinus tissue which yielded Aspergillus. The patient responded to a combination therapy of surgical excision and antifungal agent.
Manosuthi
Weerawat
W
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand. drweerawat@hotmail.com
Sungkanuparph
Somnuek
S
Hongmanee
Poonpilas
P
Sornmayura
Pattana
P
Laothamatah
Jiraporn
J
Praneetvatakul
Veeraphol
V
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000150:complications* / Q000628:therapy; D002862:Chromoblastomycosis / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008443:Maxillary Sinus / Q000382:microbiology*
D000935:Antifungal Agents; D017964:Itraconazole