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  Table of Contents  
CORRESPONDENCE
Year : 2015  |  Volume : 33  |  Issue : 2  |  Page : 332-333
 

Uncommon causes of fungal sinusitis from Eastern India


Consultant Microbiologist, Registrar Microbiologist, Apollo Gleneagles Hospitals, Kolkata, India

Date of Submission08-Mar-2014
Date of Acceptance23-May-2014
Date of Web Publication10-Apr-2015

Correspondence Address:
R Ujjwayini
Consultant Microbiologist, Registrar Microbiologist, Apollo Gleneagles Hospitals, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.154903

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How to cite this article:
Ujjwayini R, Dutta S. Uncommon causes of fungal sinusitis from Eastern India. Indian J Med Microbiol 2015;33:332-3

How to cite this URL:
Ujjwayini R, Dutta S. Uncommon causes of fungal sinusitis from Eastern India. Indian J Med Microbiol [serial online] 2015 [cited 2019 Dec 12];33:332-3. Available from: http://www.ijmm.org/text.asp?2015/33/2/332/154903


Dear Editor,

We read with interest your article "Unusual causes of fungal Rhinosinusitis: A study from a tertiary care centre in South India." [1] We want to share our experience regarding this. In the last 2 years we have isolated two cases of Schizophyllum commune and one each of Acremonium falciforme, Curvuleria lunata and Fusarium verticilloides from maxillary sinus mass from among 14 patients with paranasal sinus mass. All the five patients were residents of Eastern India. These patients presented with nasal obstructive symptoms, facial pain and headache and in two cases there was history of epistaxis. CAT scan of the para-nasal sinuses showed no bony involvement and no intra-cranial extension of the mass. The masses were removed endoscopically. Direct KOH mount and GMS staining revealed narrow hyphae with septations. Histology confirmed the fungal aetiology excluding tissue invasion. All the isolates grew in both 37°C and 25°C on SDA. Identification of all the fungal isolates were confirmed by the Mycology division of PGI, Chandigarh.

Aspergillus had been regarded as the most common agent to cause fungal sinusitis. These rare agents of fungal sinusitis had been infrequently reported from India mostly from the southern and northern part. [2] Swain et al. had reported the only case of Schizophyllum commune sinusitis from India. [3] But we feel these aetiological agents of allergic fungal sinusitis may not be so rare after all. In most of these cases removal of the mass is curative without the requirement for any antifungal therapy. [4] So awareness among mycologists and clinicians are required for proper aetiological diagnosis and optimum management.

 
 ~ References Top

1.
Giri S, Kindo AJ, Rao S, Kumar AR. Unusual causes of fungal rhinosinusitis: A study from a tertiary care centre in South India. Indian J Med Microbiol 2013;31:379-84.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Chakrabarti A, Sharma SC. Paranasal sinus mycoses. Indian J Chest Dis Allied Sci 2000;42:293-304.  Back to cited text no. 2
    
3.
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. 3
[PUBMED]  Medknow Journal  
4.
Pagella F, Matti E, De Bernardi F, Semino L, Cavanna C, Marone P, et al. Paranasal sinus fungus ball: Diagnosis and management. Mycoses 2007;50:451-6.  Back to cited text no. 4
    




 

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