Allergic Sinusitis
A 52-year-old woman
was diagnosed with chronic sinusitis
She had history
of atopy and asthma required corticosteroids
She had eosinophilia
and increased serum IgE
She underwent
bilateral endoscopic maxillotomy & ethmoidectomy
Nasal tissue was
sent to microbiology for C&S
Initial Gram stain
results were reported as yeast from microbiology
Further testing
of yeast looking cells revealed consistency with mould
Culture grew fungus
identified as Trichoderma species
Speciated as Trichoderma
longibracheatum by UAMC & Herbarium
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