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1 results

  • Scytalidium dimidiatum associated invasive fungal sinusitis in an immunocompetent patient

  • A Hariri, N Choudhury, H A Saleh
  • Journal:
    The Journal of Laryngology & Otology / Volume 128 / Issue 11 / November 2014
    Published online by Cambridge University Press:
    02 October 2014, pp. 1018-1021
    Print publication:
    November 2014
  • Background:

    Scytalidium dimidiatum is a soil and plant pathogen that frequently affects fruit trees, but can also cause human infection. There are only two reported cases of invasive fungal sinusitis involving this rare micro-organism.

    Objective:

    This paper reports the first case of invasive fungal sinusitis caused by Scytalidium dimidiatum occurring in a young immunocompetent patient from a non-endemic region, and discusses potential sources of exposure and relevance of local factors.

    Method:

    Case report.

    Results:

    The patient was treated successfully with a combination of functional endoscopic sinus surgery, and antifungal and corticosteroid treatment.

    Conclusion:

    This paper describes the first reported case of invasive fungal sinusitis secondary to Scytalidium dimidiatum in a young immunocompetent patient from a non-endemic region. Importance is placed on following a systematic process of investigation and management, and adhering to well-defined basic surgical principles.