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Published on: March 1, 2024
Candida kefyr in Invasive Paranasal Sinusitis
M Swarajyalakshmi1, G Jyothilakshmi1
1Department of Microbiology, Gandhi Medical College, Musheerabad, Secunderabad, India.
Abstract:
Fungi are being increasingly implicated in etio pathology of rhino sinusitis. Invasive fungal sinusitis occurring in diabetics and immunocompromised patients is notorious for its insidious onset, rapid intra cranial spread and tissue destruction. Candida as a cause of this invasive infection is infrequently reported in India. We report a rare species of Candida, Candida kefyr in a female diabetic patient presenting with invasive fungal sinusitis.
Insights
Invasive fungal sinusitis, often caused by Candida, can be severe in diabetics. This case highlights Candida kefyr as a rare cause of invasive fungal sinusitis in an Indian diabetic patient.
Area of Science:
- Mycology
- Infectious Diseases
- Otorhinolaryngology
Background:
- Fungal sinusitis is a serious condition, particularly invasive forms in immunocompromised individuals.
- Diabetes mellitus is a significant risk factor for invasive fungal infections.
- Candida species are known pathogens, but specific species causing invasive sinusitis are rarely reported in India.
Observation:
- A rare case of invasive fungal sinusitis was observed in a female diabetic patient.
- The patient presented with symptoms indicative of invasive fungal sinusitis.
- Diagnostic investigations confirmed the presence of a fungal infection.
Findings:
- The causative agent was identified as a rare species of Candida, specifically Candida kefyr.
- This represents an infrequent report of Candida kefyr causing invasive fungal sinusitis in India.
- The patient's diabetic status was a key comorbidity.
Implications:
- This case expands the known spectrum of Candida species causing invasive fungal sinusitis.
- Highlights the importance of considering rare Candida species in diabetic patients with sinusitis.
- Emphasizes the need for accurate fungal identification in managing invasive infections.
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