Concurrent Chromomycosis and Aspergillosis of the Maxillary Sinus
Weerawat Manosuthi MD*, Somnuek Sungkanuparph MD*, Poonpilas Hongmanee MSc**, Pattana Sornmayura, MD**, Jiraporn Laothamatah MD ***, Veeraphol Praneetvatakul MD****
Affiliation : * Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University ** Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University *** Department of Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University **** Department of Otolaryngology Head Neck Surgery, Faculty of Medicine Ramathibodi Hospital,
Mahidol University The authors describe a rare case of an infection of both the chromomycosis and aspergillosis of the maxillary sinus in an immunocompetent 72-year-old female who presented with progressive visual loss and dull aching pain of the left eye. Sinuscopy of the left maxillary sinus showed swelling of the mucosa with clay- like materials. Biopsy from the left maxillary sinus showed the typically characteristic morphology of chromomycosis and culture from sinus tissue which yielded Aspergillus. The patient responded to a combination therapy of surgical excision and antifungal agent.
Keywords : Chromomycosis, Aspergillosis, Sinusitis, Sinus
