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免疫功能正常患者中由尖端赛多孢菌引起的非侵袭性真菌性鼻窦炎1例罕见病例

A Rare Case of Non-Invasive Fungal Sinusitis Caused by Scedosporium Apiospermum in an Immunocompetent Patient.

作者信息

Krishnan Anand, Mittal Shubham, Singh Anju

机构信息

Department of ENT, Parco Institute of Medical Sciences, NH Bypass road, Vatakara, Kozhikode, Kerala 673101 India.

Department of ENT, Noida International Institute of Medical Sciences, Gautam Budh Nagar, Greater Noida, Uttar Pradesh India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):532-535. doi: 10.1007/s12070-024-05167-9. Epub 2024 Nov 1.

Abstract

UNLABELLED

Fungal sinusitis are very often caused by Aspergillus spp. Dematiaceae spp. and mucomycoses. Sinusitis with Scedosporium spp is very rare, especially in immunocompetent humans. A 42-year-old female presented with long history of facial pain and headache. Isolated opacification of maxillary sinus with double density sign was noted on left side in the CT scan. Diagnosed as fungal rhino sinusitis and endoscopic sinus surgery was carried out to clear the disease of the sinus and further mycological evaluation proved the organism to be Scedosporium apiospermum. We report the rare case of a non-invasive isolated fungal sinusitis caused by fungi Scedosporium apiospermum.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-024-05167-9.

摘要

未标注

真菌性鼻窦炎通常由曲霉属、暗色孢科真菌和毛霉菌引起。由多育赛多孢菌引起的鼻窦炎非常罕见,尤其是在免疫功能正常的人群中。一名42岁女性,有长期面部疼痛和头痛病史。CT扫描显示左侧上颌窦孤立性混浊伴双重密度征。诊断为真菌性鼻-鼻窦炎,并进行了鼻内镜鼻窦手术以清除鼻窦疾病,进一步的真菌学评估证实病原体为多育赛多孢菌。我们报告了一例由多育赛多孢菌引起的非侵袭性孤立性真菌性鼻窦炎的罕见病例。

补充信息

在线版本包含可在10.1007/s12070-024-05167-9获取的补充材料。

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本文引用的文献

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A Rare Case of Fungal Rhinosinusitis Caused by Scedosporium apiopermum.一株枝顶孢引起的真菌性鼻-鼻窦炎罕见病例报告。
Head Neck Pathol. 2021 Sep;15(3):1059-1063. doi: 10.1007/s12105-020-01248-7. Epub 2020 Nov 9.
2
Scedosporium apiospermum invasive sinusitis presenting as extradural abscess.
Eur Ann Otorhinolaryngol Head Neck Dis. 2019 Apr;136(2):119-121. doi: 10.1016/j.anorl.2018.11.009. Epub 2018 Dec 4.
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A new classification and diagnostic criteria for invasive fungal sinusitis.侵袭性真菌性鼻窦炎的新分类与诊断标准
Arch Otolaryngol Head Neck Surg. 1997 Nov;123(11):1181-8. doi: 10.1001/archotol.1997.01900110031005.
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Fungal sinusitis: an update.真菌性鼻窦炎:最新进展
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