Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-22T09:38:32.335Z Has data issue: false hasContentIssue false

Maxillary sinus fusariosis in immunocompetent hosts

Published online by Cambridge University Press:  29 June 2007

Mary Kurien*
Affiliation:
Departments of ENT, Christian Medical College and Hospital, Vellore, S. India.
V. Anandi
Affiliation:
departments of Microbiology, Christian Medical College and Hospital, Vellore, S. India.
R. Raman
Affiliation:
Departments of ENT, Christian Medical College and Hospital, Vellore, S. India.
K. N. Brahmadathan
Affiliation:
departments of Microbiology, Christian Medical College and Hospital, Vellore, S. India.
*
Dr Mary Kurien, M.S., D.L.O., Reader, Department of ENT, Christian Medical College and Hospital, Vellore 632004, S. India.

Abstract

We report the first known cases of Fusariosis of maxillary sinus with granuloma and oro-antral fistula in two immunocompetent hosts. Fusarium solani was demonstrated in the direct microscopic examination and isolated in heavy growth from the biopsy materials. Both these patients were successfully treated with oral ketoconazole (200 mg daily) for three weeks followed by a Caldwell-Luc operation. Ketoconazole was continued for two months post-operatively.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Emmons, C. W., Binford, C. H., Utz, J. P., Kwon- Chung, K. J. (1977) Common contaminants. Chapter 34. In: Medical mycology, 3rd ed. Lea and Febiger: Philadelphia, p. 518534.Google Scholar
Hartwick, R. W., Baksakis, J. G. (1991) Sinus aspergillosis and allergic fungal sinusitis. Annals of Otology, Rhinology and Laryngology, 100: 427430.CrossRefGoogle ScholarPubMed
Hiemenz, J. W., Kennedy, B., Kwon-Chung, K. J. (1990) Invasive fusariosis associated with an injury by a stingray barb. Journal of Medical and Veterinary Mycology, 28: 209213.CrossRefGoogle ScholarPubMed
Jackle, C, Leek, J. C, Olson, D. A., Robbins, D. L. (1983) Septic arthritis due to Fusarium solani. Journal of Rheumatology, 10: 151153.Google Scholar
Liesegang, T. J., Forster, R. K. (1980) Spectrum of microbial keratitis in South Florida. American Journal of Ophthalmology, 90: 38–17.CrossRefGoogle ScholarPubMed
Manning, S. C, Schaefer, S. D., Close, L. G., Vuitch, F. (1991) Culture-positive allergic fungal sinusitis. Archives of Otolaryngology. Head and Neck Surgery, 117: 174178.Google Scholar
Minor, R. L. Jr., Pfaller, M. A., Gingrich, R. D., Burns, L. J. (1989) Disseminated fusarium infections in patients following bone marrow transplantation. Bone Marrow Transplant, 4: 653658.Google ScholarPubMed
Nuovo, M. A., Simmonds, J. E., Chacho, M. S., McKitrick, J. C. (1988) Fusarium solani osteomyelitis with probable nosocomial spread. American Journal of Clinical Pathology, 90: 738741.CrossRefGoogle ScholarPubMed
Rebell, G. (1981) Fusarium infection in human and veterinary medicine. In Fusarium: Diseases, Biology and Taxonomy. (Nelson, P. E., Toussoun, T. A., Cook, R. J., Eds) Pennsylvania State University Press, University Park, p 210220.Google Scholar
Rebell, G. C, Forster, R. K. (1980) Fungi of keratomycosis. Chapter 54, In: Manual of Clinical Microbiology, 3rd ed. (Lennette, E. H., Balows, A., Hausles, W. J. Jr., Truant, J. eds). American Society for Microbiology of Washington, DC. p. 553561.Google Scholar
Rotowa, N. A., Shadomy, H. J., Shadomy, S. (1990) In vitro activities of polyene and imidazole antifungal agents against unusual opportunistic fungal pathogens. Mycoses, 33: 203211.CrossRefGoogle ScholarPubMed
Schneller, F. R., Gulati, S. C, Cunningham, I. B., O'Reilly, R. J., Schmitt, H. J., Clarkson, B. D. (1990) Fusarium infections in patients with haematologic malignancies. Leukaemia Research, 14: 961966.CrossRefGoogle Scholar
Vajpayee, R. B., Gupta, S. K., Bareja, U., Kishore, K. (1990) Ocularatopy and mycotic keratitis. Annals of Ophthalmology, 22: 369372.Google ScholarPubMed
Washburh, R. G., Kennedy, D. W., Begley, M. G., Henderson, D. K., Bennett, J. E. (1988) Chronic fungal sinusitis in apparently normal hosts. Medicine (Baltimore), 67: 231247.CrossRefGoogle Scholar
Wheeler, M. S., McGinnis, M. R., Schell, W. A., Walker, D. H. (1981) Fusarium infection in burned patients. American Journal of Clinical Pathology, 75: 304311.CrossRefGoogle ScholarPubMed