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A Rare Case of Fungal Rhinosinusitis Caused by Scedosporium apiopermum

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Abstract

Fungal rhinosinusitis (FRS) is inflammation of the paranasal sinus mucosa due to fungal infections, which can be invasive or non-invasive. The occurrence of a sphenoid mucocele with a fungal ball is rare. We report a case of sphenoid sinus mucocele with a fungal ball caused by Scedosporium apiopermum in a 32-year-old female who presented to the Emergency Department with persistent headache not relieved on medications. The radiological images showed a mucocele with clival osteomyelitis. Urgent endoscopic examination and debridement was undertaken which demonstrated a mucocele with fungal ball. Microbiological examination confirmed it to be Scedosporium apiopermum.

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Acknowledgements

Mycology reference laboratory, Bristol.

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  1. University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

    Paresh P Naik, Kiranmai Bhatt, Emma C. Richards, Timothy Bates, Forsan Jahshan, Swarupsinh V Chavda & Shahzada K Ahmed

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  1. Paresh P Naik
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  2. Kiranmai Bhatt
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  3. Emma C. Richards
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  4. Timothy Bates
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  5. Forsan Jahshan
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  6. Swarupsinh V Chavda
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  7. Shahzada K Ahmed
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Correspondence to Paresh P Naik.

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Naik, P.P., Bhatt, K., Richards, E.C. et al. A Rare Case of Fungal Rhinosinusitis Caused by Scedosporium apiopermum. Head and Neck Pathol 15, 1059–1063 (2021). https://doi.org/10.1007/s12105-020-01248-7

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  • DOI: https://doi.org/10.1007/s12105-020-01248-7

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