Abstract
Summary A case of mucocutaneous sporotrichosis presenting as mycotic pansinusitis with polyposis with intracranial and intraorbital extension in a patient from Punjab, India is described. The patient had nasal discharge, sneezing and nasal obstruction for 12 years, had undergone repeated surgeries (for endoscopic clearance) but had recurrence. Computerized tomography (CT) and magnetic resonance imaging (MRI) findings revealed pansinusitis. A definitive diagnosis of sporotrichosis was established by culture of Sporothrix schenckii, verification of its dimorphic character and a positive pathogenicity test. The patient was successfully treated with potassium iodide and itraconazole.
MeSH terms
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Adult
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Animals
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Antifungal Agents / administration & dosage
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Antifungal Agents / therapeutic use
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Female
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Humans
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Itraconazole / administration & dosage
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Itraconazole / therapeutic use
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Magnetic Resonance Imaging
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Mice
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Paranasal Sinus Diseases / diagnostic imaging
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Paranasal Sinus Diseases / drug therapy
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Paranasal Sinus Diseases / microbiology*
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Potassium Iodide / administration & dosage
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Potassium Iodide / therapeutic use
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Sporothrix / isolation & purification*
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Sporothrix / pathogenicity
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Sporotrichosis / diagnostic imaging
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Sporotrichosis / drug therapy
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Sporotrichosis / microbiology*
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Antifungal Agents
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Potassium Iodide
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Itraconazole