[Allergic fungal rhinosinusitis caused by Curvularia sp.].
Allergic fungal rhinosinusitis is a benign and non-invasive sinusal disease related to a hypersensitivity reaction to fungal antigens. This process can cause tissue edema with chronic inflammatory disturbances of the respiratory mucosa. We present the case of a 17 year-old immunocompetent male, with history of seasonal allergic rhinosinusitis, nasal polyps and previous surgery for mucocele of the frontal sinus. Sticky material was removed in the last surgery that revealed pigmented and septed filaments on direct examination, and yielded Curvularia on Sabouraud dextrose agar. After a course of amphotericin B, treatment was switched to itraconazole, with good tolerance and favorable clinical outcome.
Sección de Microbiología, Hospital Naval Cirujano Mayor Dr. Pedro Mallo, Buenos Aires, Argentina. vcalvarez32@hotmail.com
Verónica C
VC
Alvarez
Liliana
L
Guelfand
Juan Carlos
JC
Pidone
Rolando
R
Soloaga
Paula
P
Ontivero
Alejandra
A
Margari
Gabriela
G
López Daneri
D000293:Adolescent; D006801:Humans; D008297:Male; D009181:Mycoses; D012220:Rhinitis / Q000150:complications / Q000382:microbiology*; D012852:Sinusitis / Q000150:complications / Q000382:microbiology*