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A Case of Fungus Ball-Type Pansinusitis Due to Fusarium Proliferatum Publisher Pubmed



Hashemi SJ1 ; Ardehali MM2 ; Rezaie S1 ; Zibafar E1 ; Shoar MG1 ; Rezaeimatehkolaei A3, 7 ; Ehteram H4 ; Najafzadeh MJ5 ; Nazeri M6
Authors
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Authors Affiliations
  1. 1. Department of Medical Mycology & Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Otorhinolaryngology Research Center, Amir Alam Educational Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Medical Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. 4. Department of Pathology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
  5. 5. Department of Parasitology and Mycology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  6. 6. Department of Medical Mycology & Parasitology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
  7. 7. Health Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Source: Mycopathologia Published:2015


Abstract

Incidence of fungal sinusitis due to the genus Fusarium has increased during the last two decades. We report a case of fungus ball sinusitis with multiple sinuses involvement in an Iranian 21-year-old woman. The patient was diagnosed as having a fungus ball-type sinusitis in computed tomography scan. The sinus biopsy revealed fungal structures on histopathological and direct microscopic examinations and a Fusarium species arose in culture. Partial sequencing of the translation elongation factor 1-alpha identified the isolate as F. proliferatum. Removal of all lesions by endoscopic surgery resulted in a favorable outcome. To the best of our knowledge, this is the first case of F. proliferatum-associated fungus ball which involved multi-sinus and highlights the efficiency of molecular methods for discrimination of fungal agents involved. © 2015, Springer Science+Business Media Dordrecht.
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