An exotic sinusitis.
We report a case of sinusitis caused by mixed free-living amoebae, Acanthamoeba and Naegleria, in an immunocompetent host; this has not been documented before. Free-living amoebae should be considered in the differential diagnosis of pathogens that cause sinusitis with or without central nervous system involvement, especially when bacteria or fungi are not found by smear, biopsy or culture.
Sukthana
Yaowalark
Y
Department of Protozoology, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Road, Bangkok 10400, Thailand. tmymv@mahidol.ac.th
Rigunti
Mario
M
Siripanth
Chutatip
C
Kusolsuk
Teerachai
T
Chintrakarn
Chalermchai
C
Kulpaditharom
Boonchu
B
D000048:Acanthamoeba / Q000302:isolation & purification*; D000328:Adult; D000562:Amebiasis / Q000469:parasitology*; D000818:Animals; D001921:Brain / Q000000981:diagnostic imaging; D015521:Ethmoid Sinusitis / Q000000981:diagnostic imaging / Q000469:parasitology*; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000000981:diagnostic imaging / Q000469:parasitology*; D009253:Naegleria / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed / Q000379:methods