Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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CASE REPORT

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Volume 25

October - December 2009 (Part-I)

Number  5


 

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Maxillary Sinus mucormycosis
mimicking sinus malignancy

Ghodrat Mohammadi1

ABSTRACT

Mucormycosis is an opportunistic fulminant fungal infection in diabetic and immunocompromised patients. The infection is acquired in the nose and paranasal sinuses by the inhalation of the fungal spores. We report of a case of maxillary sinus mucormycosis in a 32-years-old non diabetic woman. She had right side facial pain, headache, unilateral right side nasal obstruction, and post nasal discharge (PND) for five years. Nasal endoscopy revealed pus and granulation tissue, and semi-black middle turbinate in right side nasal cavity. Computed tomography showed bone erosion and a large soft tissue mass similar to sinus carcinoma in maxillary sinus with extension into the ethmoidal sinus. She underwent functional Endoscopic sinus surgery. Macroscopically, the specimen consisted of multiple tissue fragment 0.8-1 cm. Microscopic findings included an inflammatory cells and deposited fungal elements (mucormycosis). So in the paranasal sinus and nasal cavity mass, mucormycosis should be included in the differential diagnosis, especially in the non diabetic and young patients.

KEYWORDS: Mucormycosis, Fungal Sinusitis, Sinus carcinoma.

Pak J Med Sci    October - December 2009 (Part-I)    Vol. 25 No. 5    872-874

How to cite this article:

Mohammadi G. Maxillary Sinus mucormycosis mimicking sinus malignancy. Pak J Med Sci 2009;25(5):872-874.


1. Ghodrat Mohammadi, MD
Associate Professor,
Department of Oto-rhino-laryngology,
Tabriz University (Medical Science),
Tabriz – Iran.

Correspondence:

Dr. Ghodrat Mohammadi
E-Mail : mohammadig@yahoo.co.nz 

* Received for Publication: January17, 2009

* Accepted for Publication: July 29th 2009



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