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September 22, 1978

Petriellidium boydii Sinusitis

Author Affiliations

Alvarado Community Hospital San Diego

JAMA. 1978;240(13):1339-1340. doi:10.1001/jama.1978.03290130033010

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To the Editor.—  The recent description (239:2368, 1978) of Petriellidium boydii involving the sinuses, reported to be the first known such infection at this site, has prompted us to add an additional case.

Report of a Case.—  A 28-year-old diabetic woman was seen in October 1977 with a history of pain over the right antrum radiating into the ear. Roentgenograms showed an acute sinusitis with opacification of the right antrum. She was treated conservatively with sinus irrigation and antibiotics, without response. Because of the persistence of roentgenographic findings and symptoms, a Caldwell-Luc procedure was performed two months later. Irregular soft tissue aggregating 4 cm was removed and showed edema with intense chronic inflammation. In addition large fungal particles were seen, the exact nature of which could not be determined on the material fixed in formaldehyde solution. The cultures grew two strains of light Klebsiella pneumoniae, scant Enterobacter cloacae, heavy anaerobic