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CC BY-NC-ND 4.0 · J Lab Physicians 2011; 3(01): 046-048
DOI: 10.4103/0974-2727.78566
Case Report

A Rare Case of Fungal Maxillary Sinusitis due to Paecilomyces lilacinus in an Immunocompetent Host, Presenting as a Subcutaneous Swelling

Harish S Permi
Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
,
Sunil kumar Y.
Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
,
Vimal K Karnaker
Department of Microbiology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
,
Kishan Prasad H L.
Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
,
S Teerthanath
Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
,
Satheesh Kumar Bhandary
Department of ENT, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India
› Author Affiliations Source of Support: Nil
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ABSTRACT

Paecilomyces is a colonizing fungal species which usually causes keratitis, endocarditis, sinusitis, nephritis, fungemia, cutaneous, and subcutaneous infections in immunocompromised host. Very rarely, it causes similar infection in immunocompetent host without any risk factors. We report a case of maxillary sinusitis due to Paecilomyces lilacinus in a 65-year-old immunocompetent male, who presented with a subcutaneous swelling below the left eye. The lesion was excised by surgery and treated with itraconazole for 6 months based on culture and sensitivity. After 1 year of follow up, he is free of symptoms with no evidence of recurrence.

Keywords

Immunocompetent - itraconozole - maxillary sinusitis - Paecilomyces lilacinus


Publication History

Article published online:
29 January 2020

© 2011.

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