Pansinusitis due to Sporothrix schenckii.
Summary A case of mucocutaneous sporotrichosis presenting as mycotic pansinusitis with polyposis with intracranial and intraorbital extension in a patient from Punjab, India is described. The patient had nasal discharge, sneezing and nasal obstruction for 12 years, had undergone repeated surgeries (for endoscopic clearance) but had recurrence. Computerized tomography (CT) and magnetic resonance imaging (MRI) findings revealed pansinusitis. A definitive diagnosis of sporotrichosis was established by culture of Sporothrix schenckii, verification of its dimorphic character and a positive pathogenicity test. The patient was successfully treated with potassium iodide and itraconazole.
Kumar
R
R
Department of Microbiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Kaushal
V
V
Chopra
H
H
Gupta
R
R
Chhina
D K
DK
Kaushal
R K
RK
Mohan
U
U
D000328:Adult; D000818:Animals; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D051379:Mice; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011193:Potassium Iodide / Q000008:administration & dosage / Q000627:therapeutic use; D013175:Sporothrix / Q000302:isolation & purification* / Q000472:pathogenicity; D013174:Sporotrichosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000935:Antifungal Agents; D011193:Potassium Iodide; D017964:Itraconazole