title: Septate fungal invasion in masked mastoiditis: a diagnostic dilemma.
abstract: Invasive fungal mastoiditis is a rare entity, seen almost entirely in immunocompromized patients. It has been reported primarily in patients with leukaemia and more recently with acquired immunodeficiency syndrome. A literature search revealed only a few reports in diabetic patients, in whom the invasive fungus was identified as mucormycosis in all cases. We report the first case in the English literature of invasive septate fungal mastoiditis in a diabetic patient with intact tympanic membranes.
authors.affiliation: Department of ENT - Head and Neck Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India. gkthamara@yahoo.com
authors.forename: G
authors.initials: G
authors.lastname: Kuruvilla
authors.forename: A
authors.initials: A
authors.lastname: Job
authors.forename: J
authors.initials: J
authors.lastname: Mathew
authors.forename: A P
authors.initials: AP
authors.lastname: Ayyappan
authors.forename: M
authors.initials: M
authors.lastname: Jacob
mesh_terms: D001228:Aspergillosis / Q000175:diagnosis* / Q000628:therapy; D048909:Diabetes Complications / Q000175:diagnosis* / Q000382:microbiology; D005158:Facial Paralysis / Q000209:etiology; D006801:Humans; D008297:Male; D008417:Mastoiditis / Q000175:diagnosis* / Q000382:microbiology; D008875:Middle Aged; D016896:Treatment Outcome; D014432:Tympanic Membrane