Agarwal S, Kanga A, Sharma V, Sharma D R, Sharma M L
Department of Microbiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh - 171 001, India.
Indian J Med Microbiol. 2005 Jul;23(3):195-7. doi: 10.4103/0255-0857.16595.
A case of invasive multiple paranasal sinus aspergillosis with bony involvement is reported. A young immunocompetent lady presented with bilateral nasal obstruction due to polyps. Radiologically and histopathologically a fungal cause was kept a possibility, and the diagnosis of Aspegillus fumigatus was established by demonstration of acute angle branching septate hyphae on direct wet mount and repeated isolation in culture. Patient responded favourably to surgical excision of polyps and oral itraconazole post operatively.
报告了一例累及骨质的侵袭性多发性鼻窦曲霉菌病病例。一名年轻的免疫功能正常女性因息肉出现双侧鼻塞。影像学和组织病理学检查均考虑有真菌病因的可能，通过直接湿片镜检发现呈锐角分支的有隔菌丝以及多次培养分离，确诊为烟曲霉菌。患者术后接受息肉手术切除及口服伊曲康唑治疗，反应良好。
