Non-Aspergillus fungal rhinosinusitis at a tertiary care hospital and the first report of human infection by Trichoderma asperellum
Rev. patol. trop
;
44(4): 395-408, dez. 2015. tab, ilus
Artigo
em Inglês
| LILACS
| ID: biblio-912341
ABSTRACT
We describe 27 cases of fungal rhinosinusitis, which were caused by agents other than Aspergillus, diagnosed at our institution during a 24-year period. Particular focus was on defining the causal fungi and the predisposing factors. Fungal cultures were obtained from 20 cases and there was no growth in seven cases. Classification of mycotic disease of the nose and paranasal sinuses as invasive and noninvasive is based on clinical, radiological, and histopathological factors. The most common pathogens were Histoplasma capsulatum (n=4), Scedosporium apiospermum (n=2), Alternaria alternata (n=2), Schizophyllum commune (n=2), Pseudallescheria boydii (n=1), Penicillium sp. (n=1), Lichtheimia (Absidia) corymbifera (n=1), Xylaria enteroleuca (n=1), Trichoderma asperellum (n=1), T. harzianum (n=1), T. viride (n=1), Fusarium solani (n=1), Cladosporium sp. (n=1), and Cryptococcus neoformans (n=1). From the ones that revealed no growth, four were classified as hyalohyphomycosis and three were mucormycosis by the histopathological findings. In addition, we describe the first welldocumented case of rhinosinusitis and human infection by T. asperellum.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Sinusite
Idioma:
Inglês
Revista:
Rev. patol. trop
Assunto da revista:
Medicina Tropical
/
Patologia
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Cuba
/
Reino Unido
Instituição/País de afiliação:
Departamento de Ciências Pneumológicas/BR
/
Department of Tropical Medicine/GB
/
Laboratório de Micologia/BR
/
Laboratório de Micologia, Hospital Santa Rita, Irmandade Santa Casa de Misericórdia Porto Alegre (ISCMPA/BR
/
Núcleo de Otorrinolaringologia do Hospital Moinhos de Vento/BR
/
Programa de Pós-Graduação em Ciências Pneumológicas/BR
/
Serviço de Radiologia, ISCMPA/BR
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