Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T10:04:44.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Conidiobolus coronata granuloma of left inferior turbinate: a rare presentation

Published online by Cambridge University Press:  08 March 2017

P Pujary ,
K Pujary ,
S G Mahesh  and
M Valiathan
P Pujary*
Affiliation:
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Manipal, Karnataka, India
K Pujary
Affiliation:
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Manipal, Karnataka, India
S G Mahesh
Affiliation:
Department of ENT and Head and Neck Surgery, Kasturba Medical College, Manipal, Karnataka, India
M Valiathan
Affiliation:
Department of Pathology, Kasturba Medical College, Manipal, Karnataka, India
*
Address for correspondence: Dr Parul Pujary, Associate Professor in ENT, PO Box 115, Manipal 576104, Karnataka, India. Fax: 00091 820 2570061 E-mail: nanoo1in@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To report a rare genus of a fungal family commonly affecting the sinonasal region, which presented as a fungal granuloma of the inferior turbinate in an immunocompetent host. Such a case has not previously been reported.

Case report:

A 49-year-old man presented with nasal conidiobolus limited to the left inferior turbinate, despite pre-operative fungal culture and tissue biopsy being negative for any fungal growth. On computed tomography scanning of the paranasal sinuses, and peri-operatively, the left inferior turbinate was seen to be enlarged and a bony, cartilaginous spur was found to impinge deep into the inferior turbinate. The spur may have caused microtrauma suitable for spore implantation, leading to fungal granuloma development. This unusual presentation highlights the fact that excision biopsy is diagnostic and therapeutic in such cases.

Conclusion:

Conidiobolus coronata of the inferior turbinate is rare. Such a fungal granuloma may be large enough to be confused with a benign or malignant lesion of the nasal cavity.

Keywords

ConidiobolusFungalGranulomaMycosesNose
Type
Online Only Clinical Record
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 7 , July 2008 , e15
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Ellis, DH. Subcutaneous zygomycosis. In: Merz, WG, Hay, RJ. Topley & Wilson's Microbiology and Microbial Infections; Medical Mycology, 10th edn. London: Hodder Arnold, 2005;1:345–55Google Scholar
2 Ribes, JA, Vanover Sams, CL, Baker, DJ. Zygomycetes in human disease (review). Clin Microbiol Rev 2000;13(2):236–301CrossRefGoogle Scholar
3 Jaffey, PB, Haque, AK, El-Zaatari, M, Pasarell, L, McGinnis, MR. Disseminated conidiobolus infection with endocarditis in a cocaine abuser. Arch Pathol Lab Med 1990;114:1276–8Google Scholar
4 Costa, AR, Porto, AE, Pegas, JRP, Reis, VMSD, Pires, MC, Lacaz, CDS et al. Rhinofacial zygomycosis caused by Conidiobolum coronatus – a case report. Mycopathologia 1991;115:1–8CrossRefGoogle ScholarPubMed
5 Restrepo, A. Treatment of tropical mycoses. J Am Acad Dermatol Sep 1994;31(3Pt2):S91–102CrossRefGoogle ScholarPubMed
6 Chayakulkeeree, M, Ghannoum, MA, Perfect, JR. Zygomycosis: the re-emerging fungal infection (review). Eur J Clin Microbiol Infect Dis 2006;25:215–29CrossRefGoogle Scholar