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A rare case of fungal rhinosinusitis caused by scedosporium apiopermum.

Naik, Paresh P
Bhatt, Kiranmai
Richards, Emma C
Bates, Timothy
Jahshan, Forsan
Chavda, Swarupsinh V
Ahmed, Shahzada K
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2020-11-09
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Abstract
Fungal rhinosinusitis (FRS) is inflammation of the paranasal sinus mucosa due to fungal infections, which can be invasive or non-invasive. The occurrence of a sphenoid mucocele with a fungal ball is rare. We report a case of sphenoid sinus mucocele with a fungal ball caused by Scedosporium apiopermum in a 32-year-old female who presented to the Emergency Department with persistent headache not relieved on medications. The radiological images showed a mucocele with clival osteomyelitis. Urgent endoscopic examination and debridement was undertaken which demonstrated a mucocele with fungal ball. Microbiological examination confirmed it to be Scedosporium apiopermum.
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Naik PP, Bhatt K, Richards EC, Bates T, Jahshan F, Chavda SV, Ahmed SK. A Rare Case of Fungal Rhinosinusitis Caused by Scedosporium apiopermum. Head Neck Pathol. 2021 Sep;15(3):1059-1063. doi: 10.1007/s12105-020-01248-7. Epub 2020 Nov 9
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