Maxillary sinus fungal infection by Acremonium

Summary Objective To illustrate by this case report that Acremonium must now be considered as a differential diagnosis in cases of maxillary fungus balls. Case report Seventy-seven-year-old woman consulted for persistent pain of the right maxillary sinus, with rhinorrhea and nocturnal coughing. Comp...

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Bibliographic Details
Published in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2011-01, Vol.128 (1), p.41-43
Main Authors: Durbec, M, Bienvenu, A.-L, Picot, S, Dubreuil, C, A.Cosmidis, Tringali, S
Format: Article
Language:English
Subjects:
Acremonium
Acremonium - ultrastructure
Aged
Chronic
Chronic Disease
Diagnosis, Differential
Endoscopy
Female
Fungal
Fungus ball
Humans
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - surgery
Maxillary Sinusitis - diagnostic imaging
Maxillary Sinusitis - surgery
Microscopy
Mycological Typing Techniques
Mycoses - diagnostic imaging
Mycoses - surgery
Otolaryngology
Sinusitis
Tomography, X-Ray Computed
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Summary:Summary Objective To illustrate by this case report that Acremonium must now be considered as a differential diagnosis in cases of maxillary fungus balls. Case report Seventy-seven-year-old woman consulted for persistent pain of the right maxillary sinus, with rhinorrhea and nocturnal coughing. Computed tomography (CT) of the sinuses showed a heterogeneous opacification of the right maxillary sinus with well-defined hyperdense foci suggesting aspergillosis. She underwent a middle meatus antrectomy by an endonasal approach. Six months after the surgery, her symptoms were gone and had not recurred. Mycological examination found Acremonium. Discussion/Conclusion Acremonium is a genus of saprobic fungi that rarely cause disease in humans. Infection with Acremonium has recently been described in immunocompromised patients. We describe the first case of fungal maxillary sinusitis caused by Acremonium in an immunocompetent person. Clinically and radiologically, the initial diagnosis was aspergillosis. Acremonium must be considered together with aspergillosis in all situations of fungus ball chronic sinusitis.
ISSN:1879-7296
1879-730X
DOI:10.1016/j.anorl.2010.10.004