ISOLATED SPHENOID SINUSITIS DUE TO PSEUDALLESCHERIA-BOYDII

A case of sphenoid sinusitis due to Pseudallescheria boydii is describ ed in a 52-year-old non-immunocompromised woman. Treatment should alwa ys involve surgical drainage, and antifungal chemotherapy may be of be nefit if there is histological evidence of invasion of surrounding tis sue. For P. boydii infection miconazole should be the agent of choice, rather than amphotericin B. For this reason it is important to obtain culture and histological examination of sinus contents if fungal infe ction is suspected.