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Phaeohyphomycosis of the paranasal sinuses caused by Fonsecaea pedrosoi - A case report
Author(s) -
Chadiesh Nagarajan,
Thayanidhi Premamalini,
Rajyoganandh S Vijayaraman,
Anupma Jyoti Kindo,
John Samuel
Publication year - 2015
Publication title -
journal of infection in developing countries
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 49
eISSN - 2036-6590
pISSN - 1972-2680
DOI - 10.3855/jidc.5361
Subject(s) - phaeohyphomycosis , itraconazole , paranasal sinuses , medicine , sinusitis , antifungal , fungal sinusitis , dermatology , surgery
Phaeohyphomycosis of  paranasal sinuses is not very frequent. We here report a case of paranasal sinusitis caused by Fonsecaea pedrosoi in a 53 year old diabetic male, with deviated nasal septum. With surgical correction and antifungal treatment with itraconazole, the patient’s condition improved and he was discharged. Fonsecaea exists in the environment as a saprophyte and its infection is usually not lethal. However in immunocompromised individuals, when there is systemic invasion the mortality rate is high. With limited treatment options available for this fungus, early and prompt identification plays a major role not only in treatment, but also prevents further invasion.

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