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Granulomatous Invasive Aspergillosis of Paranasal Sinuses Masquerading as Actinomycosis and Review of Published Literature
Authors:Keshavamurthy Vinay  Geeti Khullar  Savita Yadav  Amrinder J. Kanwar  Uma N. Saikia  M. R. Shivaprakash  Arunaloke Chakrabarti  Sunil Dogra
Affiliation:1. Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India
2. Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
3. Department Medical Mycology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
Abstract:Cutaneous aspergillosis is a common systemic mycosis affecting immunosuppressed patients. Here, we describe a novel morphological type of cutaneous aspergillosis in a young immunocompetent woman who presented with a chronic history of multiple nodules and discharging sinuses over left side of the face, mimicking cervicofacial actinomycosis. Skin biopsy showed granulomatous inflammation, and of septate fungal hyphae with acute-angled branching, morphologically resembling Aspergillus. This was confirmed on fungal culture as Aspergillus flavus.
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