Isolated frontal sinusitis due to Pseudallescheria boydii.
We report a case of recurrent sino-nasal fungal infection due to Pseudallescheria boydii (P. boydii) in a 33-year-old diabetic woman. It is very essential to identify P. boydii, as Miconazole is the only antifungal drug of choice. However, histological examination of the specimen for clinching clues such as intercalary conidia and chlamydoconidia plays an important role in identifying P. boydii, when fungal culture fails to yield the growth. On follow-up, the woman responded for the treatment with Miconazole and is free of symptoms, with no recurrence after 6 months.
Annam
Vamseedhar
V
Department of Pathology, Sree Siddhartha Medical College and Research Centre, Tumkur, Karnataka, India. vamseedhar_a@yahoo.com
Athaniker
V S
VS
Yelikar
Balasaheb Ramalingappa
BR
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D048909:Diabetes Complications; D005260:Female; D015522:Frontal Sinusitis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008825:Miconazole / Q000627:therapeutic use; D009181:Mycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D011541:Pseudallescheria / Q000302:isolation & purification*
D000935:Antifungal Agents; D008825:Miconazole