Case Report

Sino-Orbital Aspergillosis in a Kidney Transplant Recipient

Table 1

Host factors, clinical, and mycological criteria for the diagnosis of probable sino-orbital fungal infection in solid organ transplant recipient (adapted from 11).

Host factorsReceipt of a solid organ transplant

Clinical featuresAcute localized pain (including pain radiating to the eye)
Or nasal ulcer with black eschar
Or extension form the paranasal sinus across bony barriers, including into the orbit

Mycological evidenceMold recovered by culture of sinus aspirate samples or microscopic detection of fungal elements in sinus aspirate samples indicating a mold
Or for Aspergillus: galactomannan antigen detected in plasma, serum, or CSF
Or for Aspergillus: ≥2 PCR tests positive in plasma/serum/whole blood