title: A case of fungus ball type pansinusitis caused by Schizophillum commune.
abstract: Schizophillum commune has been increasingly reported from allergic bronchopulmonary mycosis (ABPM) as well as fungus ball, brain abscess and several cases of maxillary or allergic fungal sinusitis. In the present study, we reported a case of fungus ball type pansinusitis from a 32-year-old woman in Iran. According to computed tomography (CT) scan, fungus ball type pan-sinusitis was likely to be the first diagnosis. Mycological examination revealed hyaline hyphae with small projection and also clamp connection structures on PDA medium. To identify the obtained isolate properly, molecular analysis of the internal transcribed spacer region was performed and indicated that the causing agent of the infection is surely Schizophillum commune. The patient completely recovered after surgical endoscopic operation and consequent post-operation MRI revealed clearance of sinuses.
authors.affiliation: Department of Medical Mycology & Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Nazeri
authors.affiliation: Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Amir Alam Educational Hospital, Tehran, Iran.
authors.forename: Mojtaba
authors.initials: M
authors.lastname: Mohammadi Ardehali
authors.affiliation: Department of Medical Mycology & Parasitology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Moazeni
authors.affiliation: Department of Medical Mycology & Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyed
authors.initials: S
authors.lastname: Jamal Hashemi
authors.affiliation: Department of Medical Mycology & Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Ali Akbar
authors.initials: AA
authors.lastname: Fallahi
authors.affiliation: Department of Pathology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran.
authors.forename: Hassan
authors.initials: H
authors.lastname: Ehteram
authors.affiliation: Department of Medical Mycology & Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; Department of Medical Biotechnology, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, No. 88 Italy St., Keshavarz Blv., P.O. Box 14155-6446, Tehran, Iran.
authors.forename: Sassan
authors.initials: S
authors.lastname: Rezaie
keywords: DNA sequencing; Fungus ball; Pansinusitis; Schizophillum commune