title: A Rare Case of Fungal Maxillary Sinusitis due to Paecilomyces lilacinus in an Immunocompetent Host, Presenting as a Subcutaneous Swelling.
abstract: Paecilomyces is a colonizing fungal species which usually causes keratitis, endocarditis, sinusitis, nephritis, fungemia, cutaneous, and subcutaneous infections in immunocompromised host. Very rarely, it causes similar infection in immunocompetent host without any risk factors. We report a case of maxillary sinusitis due to Paecilomyces lilacinus in a 65-year-old immunocompetent male, who presented with a subcutaneous swelling below the left eye. The lesion was excised by surgery and treated with itraconazole for 6 months based on culture and sensitivity. After 1 year of follow up, he is free of symptoms with no evidence of recurrence.
authors.affiliation: Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India.
authors.forename: Harish S
authors.initials: HS
authors.lastname: Permi
authors.forename: Kumar Y
authors.initials: KY
authors.lastname: Sunil
authors.forename: Vimal K
authors.initials: VK
authors.lastname: Karnaker
authors.forename: Prasad H L
authors.initials: PH
authors.lastname: Kishan
authors.forename: S
authors.initials: S
authors.lastname: Teerthanath
authors.forename: Satheesh Kumar
authors.initials: SK
authors.lastname: Bhandary