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Efficacy of Surgical Therapy

Maj Richard E. Winn, MC; Sgt Paul D. Ramsey; James C. McDonald, MD; Kelvin J. Dunlop, MS

Arch Otolaryngol. 1983;109(2):123-125.

Abstract
• Pseudallescheria boydii is a ubiquitous mold of soil and is a frequent cause of mycetoma in the United States. Involvement of the sinuses is extremely rare. The necessity of medical and/or surgical management is largely unknown but appears to be dependent on variables of host defense mechanisms, as the fungus is relatively avirulent. Chronic maxillary sinusitis secondary to P boydii developed in a noncompromised woman. Evidence of erosion of the bony wall of the orbit was encountered at operation. Successful eradication of this infection was accomplished with surgical drainage alone.

(Arch Otolaryngol 1983;109:123-125)

Author Affiliations
USAF

From the Infectious Diseases Service and Clinical Microbiology Laboratory, Wilford Hall Medical Center, Lackland AFB, Tex (Dr Winn and Sgt Ramsey); and the Bossier Medical Center, Bossier City, La (Dr McDonald and Mr Dunlop).

Footnotes
Accepted for publication April 30, 1982.

Reprint requests to Infectious Diseases Service, Wilford Hall Medical Center, Lackland AFB, TX 78236 (Dr Winn).

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