|Year : 2015 | Volume
| Issue : 2 | Page : 332-333
Uncommon causes of fungal sinusitis from Eastern India
R Ujjwayini, S Dutta
Consultant Microbiologist, Registrar Microbiologist, Apollo Gleneagles Hospitals, Kolkata, India
|Date of Submission||08-Mar-2014|
|Date of Acceptance||23-May-2014|
|Date of Web Publication||10-Apr-2015|
Consultant Microbiologist, Registrar Microbiologist, Apollo Gleneagles Hospitals, Kolkata
Source of Support: None, Conflict of Interest: None
|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
We read with interest your article "Unusual causes of fungal Rhinosinusitis: A study from a tertiary care centre in South India."  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.  Swain et al. had reported the only case of Schizophyllum commune sinusitis from India.  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.  So awareness among mycologists and clinicians are required for proper aetiological diagnosis and optimum management.
| ~ References|| |
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.
Chakrabarti A, Sharma SC. Paranasal sinus mycoses. Indian J Chest Dis Allied Sci 2000;42:293-304.
Swain B, Panigrahy R, Panigrahi D. Schizophyllum commune sinusitis in an immunocompetent host. Indian J Med Microbiol 2011;29:439-42.
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.