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Case Reports in Infectious Diseases
Volume 2011 (2011), Article ID 821259, 4 pages
http://dx.doi.org/10.1155/2011/821259
Case Report

Schizophyllum Commune a Causative Agent of Fungal Sinusitis: A Case Report

1Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur Chennai 600116, India
2Department of Otolaryngology, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur Chennai 600116, India

Received 23 June 2011; Accepted 14 July 2011

Academic Editors: C. L. Gibert and S. Talhari

Copyright © 2011 T. Premamalini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a case of maxillary sinusitis caused by Schizophyllum commune, in a 50-year-old female. The patient presented with nasal obstruction, purulent nasal discharge from right side of the nose, cough, headache, and sneezing. Computed tomography revealed extensive opacity of the right maxillary sinus as well as erosion of the nasal wall and maxillary bone. Functional endoscopic sinus surgery was done, and fungal debris present on right side of the maxillary sinus was removed and sent to laboratory. Potassium hydroxide (KOH) examination of the nasal discharge showed hyaline, septate hyphae. Primary isolation on Sabouraud's dextrose agar (SDA) yielded a white woolly mould. Banana peel culture after 8 weeks showed macroscopically visible fan-shaped fruiting bodies. Lactophenol cotton blue (LPCB) mount of the same revealed hyaline septate hyphae, often with clamp connections. Identification was confirmed by the presence of clamp connections formed on the hyphae and by vegetative compatibility with known isolates.