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Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 287-289

Fungal rhinosinusitis by Geotrichum candidum

1 Department of Microbiology, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India
2 Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Kirtilaxmi K Benachinmardi
Department of Microbiology, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijhas.IJHAS_117_19

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Rhinosinusitis is an inflammatory infection of the sinuses caused by infectious agents such as bacteria and fungus. Fungal rhino-sinusitis by Geotrichum candidum is rare. A 45-year-old woman presented with complaints of serous nasal discharge from the left nostril for 3 months associated with dental pain in both upper and lower jaws. The patient was recently diagnosed of diabetes mellitus and hypertension. Pus from nasal douching was sent for fungal culture and sensitivity. KOH preparation revealed occasional hyphae. Fungal culture grew white, cottony aerial mycelia. On microscopy, rectangular arthroconidia varying in length between 4 and 10 μm were seen. The isolate was confirmed as G. candidum based on internal transcribed spacer regions of fungal ribosomal DNA. She was started on oral itraconazole for 14 days. Repeated isolation of same etiological agent in culture and confirmation with molecular techniques is essential for accurate diagnosis and appropriate management of fungal infections.

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