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Malbranchea pulchella fungal sinusitis

T J Benda1, J P Corey

  • 1University of Chicago, Section of Otolaryngology, Head and Neck Surgery, IL.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|June 1, 1994
PubMed
Summary

Fungal sinus disease is increasingly common. This report details a rare sinonasal infection caused by Malbranchea pulchella in a patient with aspirin-sensitive asthma.

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Area of Science:

  • Mycology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Fungal sinus disease is increasingly diagnosed.
  • Sinonasal infections require careful etiological identification.
  • Malbranchea species are rarely implicated in human infections.

Observation:

  • A case of suspected sinonasal Malbranchea pulchella infection is presented.
  • The patient had a history of aspirin-sensitive triad asthma.
  • This represents a potentially novelsinonasal fungal infection.

Findings:

  • This is the first reported case of sinonasal infection with Malbranchea pulchella.
  • Only two prior reports of any human Malbranchea infection exist.
  • The fungus was identified in the sinonasal passages.

Implications:

  • Highlights the potential for rare fungi to cause sinonasal disease.
  • Suggests Malbranchea pulchella as a potential pathogen in immunocompromised or specific patient groups.
  • Underscores the importance of considering unusual fungal agents in refractory sinonasal conditions.

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