Diagnostic dilemma in a case of chronic invasive fungal sinusitis solved using a novel diagnostic test

Malavika Suresh, Maneesh Shivaputra Ganamukhi, Maneesh Shivaputra Ganamukhi, Sobhana Chandran, Sobhana Chandran, Saranya Sasikumar, Saranya Sasikumar


Fungal infections of the paranasal sinuses are a spectrum of diseases rather than one distinct entity. The prevalence of fungal sinus disease has been increasing in recent decades, especially in immunocompetent individuals. The indiscriminate use of antibiotics and immunosuppressive drugs has partially been attributed to this. The diagnosis of invasive fungal disease still imposes a challenge to medical professionals occasionally. Here we present an interesting case of a middle-aged immunocompetent male who presented to us with non-specific symptoms of chronic invasive fungal sinusitis. The routine investigations for diagnosing fungal sinusitis turned out to be futile and the result of serum galactomannan test helped to identify and treat his condition. 



Fungal sinusitis, Immuno competent, Chronic invasive Aspergillosis, Orbital apex, Serum galactomannan

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