Fungal nasopharyngitis masquerading as nasopharyngeal mass in an immunocompetent patient: a case report

P. Karthikeyan; Nikhil Sivanand; Neelima Vijayan; Vishnu Kumar; Nanditha Srinivasa; Vignesh Raghavan

doi:10.18203/issn.2454-5929.ijohns20193893

Authors

P. Karthikeyan Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India
Nikhil Sivanand Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India
Neelima Vijayan Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India
Vishnu Kumar Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India
Nanditha Srinivasa Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India
Vignesh Raghavan Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute Pondicherry, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193893

Keywords:

Nasopharyngeal, Candidiasis, Endoscopic debridement, Fluconazole

Abstract

Isolated nasopharyngeal candidiasis in an immunocompetent host, has not been reported in literature. This is a case of a 48 year old lady with no comorbidities who presented with a mass in the nasopharynx mimicking nasopharyngeal malignancy. Endoscopic debridement and biopsy revealed necrotic tissue with fungal ball composed of filamentous hyphae suggestive of aspergillus and budding yeast form of Candida. A diagnosis of fungal nasopharyngitis was made and started on antifungal therapy for 6 weeks following which patient is relieved of symptoms.

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