Author/Authors :
Ashraf, Mohammad Javad Department of Pathology - School of Medicine - Shiraz University of Medical Sciences, Shiraz , Azarpira, Negar Department of Pathology - School of Medicine - Shiraz University of Medical Sciences, Shiraz , Pourjafar, Mehrzad Department of Neurology - School of Medicine - Shiraz University of Medical Sciences, Shiraz , Khademi, Bijan Department of Otolaryngology - School of Medicine - Shiraz University of Medical Sciences, Shiraz
Abstract :
We present a case of allergic fungal sinusitis (AFB) in a 20-year old man with few months'
history of bilateral nasal obstruction and discharge with unilateral proptosis that underwent
maxillary antrostomy due to the mass in paranasal sinuses. Histological examination of tissue
showed branching fungal hyphae interspersed with allergic mucin without fungal invasion to soft
tissue. The patient received local steroid for 4 months and had no problem during follow up.
Fungal culture was performed and Bipolaris fungus grew.
Although most dematiaceous fungal infections occur in immunocompetent patients, the
incorrect diagnosis and insufficient treatment may be life threatening.
Keywords :
Allergy , Fungal , Sinusitis , Tumor