title: Scytalidium dimidiatum associated invasive fungal sinusitis in an immunocompetent patient.
abstract: BACKGROUND
  Scytalidium dimidiatum is a soil and plant pathogen that frequently affects fruit trees, but can also cause human infection. There are only two reported cases of invasive fungal sinusitis involving this rare micro-organism.
  
  
  OBJECTIVE
  This paper reports the first case of invasive fungal sinusitis caused by Scytalidium dimidiatum occurring in a young immunocompetent patient from a non-endemic region, and discusses potential sources of exposure and relevance of local factors.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  The patient was treated successfully with a combination of functional endoscopic sinus surgery, and antifungal and corticosteroid treatment.
  
  
  CONCLUSIONS
  This paper describes the first reported case of invasive fungal sinusitis secondary to Scytalidium dimidiatum in a young immunocompetent patient from a non-endemic region. Importance is placed on following a systematic process of investigation and management, and adhering to well-defined basic surgical principles.
authors.affiliation: Department of ENT,Charing Cross Hospital,Imperial College Healthcare NHS Trust,UK.
authors.forename: A
authors.initials: A
authors.lastname: Hariri
authors.affiliation: Department of ENT,Charing Cross Hospital,Imperial College Healthcare NHS Trust,UK.
authors.forename: N
authors.initials: N
authors.lastname: Choudhury
authors.affiliation: Department of ENT,Charing Cross Hospital,Imperial College Healthcare NHS Trust,UK.
authors.forename: H A
authors.initials: HA
authors.lastname: Saleh
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy / Q000379:methods; D003937:Diagnosis, Differential; D019353:Endemic Diseases; D004724:Endoscopy / Q000379:methods; D006801:Humans; D007730:Kuwait / Q000453:epidemiology; D008297:Male; D009181:Mycoses / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D004718:Saccharomycetales / Q000302:isolation & purification*; D012852:Sinusitis / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology* / Q000601:surgery
chemical_list: D000935:Antifungal Agents