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CORRESPONDENCE
Year : 2012  |  Volume : 30  |  Issue : 2  |  Page : 249
 

Comment on: Schizophyllum commune sinusitis in an immunocompetent host


Department of Microbiology, Manipal Hospital, 98, HAL Airport Road, Bangalore, Karnataka, India

Date of Submission11-Jan-2012
Date of Acceptance20-Jan-2012
Date of Web Publication28-May-2012

Correspondence Address:
R Adhikary
Department of Microbiology, Manipal Hospital, 98, HAL Airport Road, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.96717

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How to cite this article:
Adhikary R, Joshi S. Comment on: Schizophyllum commune sinusitis in an immunocompetent host. Indian J Med Microbiol 2012;30:249

How to cite this URL:
Adhikary R, Joshi S. Comment on: Schizophyllum commune sinusitis in an immunocompetent host. Indian J Med Microbiol [serial online] 2012 [cited 2019 Sep 18];30:249. Available from: http://www.ijmm.org/text.asp?2012/30/2/249/96717


Dear Editor,

With reference to the case report on Schizophyllum commune (S. commune) sinusitis [1] in the October 2011 issue, we would like to share our experience of a similar case of sinusitis from a diabetic male. A 35-year-old agriculturist, presented with 4-6 months history of nasal obstruction, discharge and disturbed vision. On examination, he was found to have a deviated nasal septum and nasal polyp. Computer tomography of paranasal sinuses revealed soft tissue density in all sinuses. His diabetic status was diagnosed preoperatively-fasting blood sugar 217 mg/dl and postprandial sugar 345 mg/dl. His HIV test was negative. The patient underwent frontal endoscopic sinus surgery; thick greasy mucus was removed and sent for culture.

KOH preparation showed hyaline, septate hyphae with few dichotomous branching. Fungal culture at 25°C and 37°C on Sabouraud's dextrose agar yielded woolly white to greyish brown mycelia colony in 10 days. Lacto-phenol cotton blue mount showed septate hyphae with rare spicules with no conidia. The isolate was sent to the Centre for National Culture Collection of Pathogenic Fungi, PGIMER, Chandigarh. It was identified as S. commune (NCCPF No. 180012 dated 23.8.2010).

There are similar reports of S. commune sinusitis in diabetics. [2],[3] S. commune should not be misdiagnosed or ignored because of lack of familiarity with this non-sporulating fungus. [3]


 ~ Acknowledgment Top


We thank Dr. Arunaloke Chakrabarti (PGIMER) for identification of this fungus.

 
 ~ References Top

1.Swain B, Panigrahy R, Panigrahi D. Schizophyllum commune sinusitis in an immunocompetent host. Indian J Med Microbiol 2011;29:439-42.  Back to cited text no. 1
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2.Kern ME, Uecker FA. Maxillary sinus infection caused by the homobasidiomycetous fungus Schizophyllum commune. J Clin Microbiol 1986;23:1001-5.  Back to cited text no. 2
    
3.Sigler L, Bartley JR, Parr DH, Morris AJ. Maxillary sinusitis caused by medusoid form of Schizophyllum commune. J Clin Microbiol 1999;37:3395-8.  Back to cited text no. 3
    



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