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Septate fungal invasion in masked mastoiditis: a diagnostic dilemma

Published online by Cambridge University Press:  07 February 2006

G Kuruvilla ,
A Job ,
J Mathew ,
A P Ayyappan  and
M Jacob
G Kuruvilla
Affiliation:
Department of ENT – Head and Neck Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
A Job
Affiliation:
Department of ENT – Head and Neck Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
J Mathew
Affiliation:
Department of ENT – Head and Neck Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
A P Ayyappan
Affiliation:
Department of Radiodiagnosis, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
M Jacob
Affiliation:
Department of Pathology, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
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Abstract

Invasive fungal mastoiditis is a rare entity, seen almost entirely in immunocompromized patients. It has been reported primarily in patients with leukaemia and more recently with acquired immunodeficiency syndrome. A literature search revealed only a few reports in diabetic patients, in whom the invasive fungus was identified as mucormycosis in all cases. We report the first case in the English literature of invasive septate fungal mastoiditis in a diabetic patient with intact tympanic membranes.

Keywords

MastoiditisAspergillusFacial ParalysisDiabetes Mellitus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 3 , March 2006 , pp. 250 - 252
Copyright
© 2006 JLO (1984) Limited

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