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1.
Article | IMSEAR | ID: sea-222155

ABSTRACT

Schizophyllum commune is a basidiomycotic fungus that grows ubiquitously on trees and rotting wood. Human infections caused by it are of diverse presentation but are very rare. We present a case of sinusitis caused by S. commune in a 58-year-old female patient with post-COVID-19 infection along with a history of allergic rhinitis and diabetes mellitus type 2. Computed tomography scan findings established the clinical diagnosis of fungal maxillary sinusitis which was confirmed with culture report and polymerase chain reaction followed by sequencing. The patient underwent functional endoscopic sinus surgery. She was treated empirically with itraconazole after surgical excision

2.
Article | IMSEAR | ID: sea-188924

ABSTRACT

The common treatment of Central giant cell granuloma is surgery. Recently non-surgical treatments have been described and their benefits may be worthy of consideration. Hence; we assessed the efficacy of oral calcium carbonate and intralesional triamcinolone injections as a viable treatment option in the management of Central giant cell granuloma (CGCG) of mandible. Methods: A total of 20 patients with CGCG were included in the present study. Complete oral intra-oral and extra-oral examination was carried out in all the patients. Radiograph investigation was carried out in all the patients. In all the patients, intralesional infiltration of triamcinolone was done.Approximately eight to ten injections were given in all the patients over a period of two weeks. Assessment of lesion both clinically and radiographically was done at successive follow-ups upto two years. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software. Results: Radiographic resolution of the lesion at 2 year follow-up was seen in 18 patents while clinical resolution of the lesion was seen in 19 patients. Clinical success of the treatment was seen in 95 percent of the cases while radiographic success of the treatment was seen in 90 percent of the cases. Conclusion: Although treatment of CGCG is still controversial, intralesional steroid injections are safer and effective line of treatment of CGCG.

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