title: Granulomatous invasive aspergillosis of paranasal sinuses masquerading as actinomycosis and review of published literature.
abstract: Cutaneous aspergillosis is a common systemic mycosis affecting immunosuppressed patients. Here, we describe a novel morphological type of cutaneous aspergillosis in a young immunocompetent woman who presented with a chronic history of multiple nodules and discharging sinuses over left side of the face, mimicking cervicofacial actinomycosis. Skin biopsy showed granulomatous inflammation, and of septate fungal hyphae with acute-angled branching, morphologically resembling Aspergillus. This was confirmed on fungal culture as Aspergillus flavus.
authors.affiliation: Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.
authors.forename: Keshavamurthy
authors.initials: K
authors.lastname: Vinay
authors.forename: Geeti
authors.initials: G
authors.lastname: Khullar
authors.forename: Savita
authors.initials: S
authors.lastname: Yadav
authors.forename: Amrinder J
authors.initials: AJ
authors.lastname: Kanwar
authors.forename: Uma N
authors.initials: UN
authors.lastname: Saikia
authors.forename: M R
authors.initials: MR
authors.lastname: Shivaprakash
authors.forename: Arunaloke
authors.initials: A
authors.lastname: Chakrabarti
authors.forename: Sunil
authors.initials: S
authors.lastname: Dogra
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis / Q000382:microbiology; D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis* / Q000382:microbiology*; D001231:Aspergillus flavus / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D006099:Granuloma / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000382:microbiology*; D010256:Paranasal Sinuses / Q000382:microbiology*