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Isolated sphenoid sinusitis due to Pseudallescheria boydii

Published online by Cambridge University Press:  29 June 2007

G. W. R. Watters  and
C. A. Milford
G. W. R. Watters*
Affiliation:
Department of Otolaryngology, Radcliffe Infirmary, Oxford OX2 6HE
C. A. Milford
Affiliation:
Department of Otolaryngology, Radcliffe Infirmary, Oxford OX2 6HE
*
Mr Gavin W R. Watters, ENT Department, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE
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Abstract

A case of sphenoid sinusitis due to Pseudallescheria boydii is described in a 52-year-old non-immunocompromised woman. Treatment should always involve surgical drainage, and antifungal chemotherapy may be of benefit if there is histological evidence of invasion of surrounding tissue. For P. boydii infection miconazole should be the agent of choice, rather than amphotericin B. For this reason it is important to obtain culture and histological examination of sinus contents if fungal infection is suspected.

Keywords

Sphenoid sinusPseudallescheria boydii
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 4 , April 1993 , pp. 344 - 346
Copyright
Copyright © JLO (1984) Limited 1993

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