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| Fungal Rhinosinusitis: Report of uncommon Aspergillus species as etiological agents | ||||||
| Chadiesh Nagarajan1, Premamalini Thayanidhi2, Anupma J Kindo3, Vijayakumar Ramaraj4, Sanjeev Mohanty5, Ravikumar Arunachalam6 | ||||||
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1Final year Post graduate in MD Microbiology, Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India.
2Assistant Professor, Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India. 3Professor, Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India. 4PhD Scholar, Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India. 5Professor, Department of Oto-Rhino-Laryngology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India. 6Professor and Head, Department of Oto-Rhino-Laryngology, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India. | ||||||
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| How to cite this article: |
| Nagarajan C, Thayanidhi P, Kindo AJ, Ramaraj V, Mohanty S, Arunachalam R. Fungal Rhinosinusitis: Report of uncommon Aspergillus species as etiological agents. International Journal of Case Reports and Images 2014;5(1):13–17. |
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Abstract
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Introduction:
Rhinosinusitis caused by the usual Aspergillus spp. is very common. However, rare isolates of Aspergillus causing fungal sinusitis is also on the rise.
Case Series: We hereby report three cases of fungal sinusitis caused by uncommon Aspergillus such as A. versicolor and A. sydowii. Case 1 was a 40-year-old female came with complaints of nasal block and nasal discharge for past one and a half years with history of previous nasal surgery. Her computed tomography (CT) scan of paranasal sinus (PNS) showed bilateral ethmoidal sinusitis. Case 2 was a 43-year-old male known asthmatic presented with complaints of nasal block for last five years, was diagnosed to have bilateral sinonasal polyposis by anterior rhinoscopy. Case 3 was a 17-year-old female known asthmatic presented with headache, nasal discharge and frequent sneezing for last six months. Her CT PNS showed left side deviated nasal septum with left side pan sinusitis along with right frontal sinusitis. All the three patients underwent functional endoscopic sinus surgery (FESS). The material was sent to the microbiology laboratory for fungal culture and potassium hydroxide mount. Speciation by slide culture was not conclusive. Hence, molecular methods were opted for speciation. Conclusion: Reporting of these cases will ensure awareness among the microbiologists about the not so common Aspergilli as a cause of fungal sinusitis. The need of molecular methods for speciation has also been emphasized here as it is difficult to speciate these Aspergilli using routine conventional methods. | |
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Keywords:
Aspergillus versicolor, Aspergillus sydowii, Fungal Rhinosinusitis
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Author Contributions:
Chadiesh Nagarajan – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Premamalini Thayanidhi – Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Anupma J Kindo – Substantial contributions to conception and design, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Vijayakumar Ramaraj – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sanjeev Mohanty – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Ravikumar Arunachalam – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Chadiesh Nagarajan et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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