SCOPULARIOPSIS - AN INVASIVE NASAL INFECTION

Scopulariopsis, a sail saprophyte, rarely produces disease and has not been reported to cause invasive nasal destruction in a nonimmunocompr omised host. We report the first case of Scopulariopsis in the otolary ngology literature. Prompt surgical debridement is required and usuall y adequate. Disagreement exists on the use of antifungals as an effect ive treatment A case of invasive Scopulariopsis involving the nasal se ptum of a 72-year-old man is detailed, and successful treatment consis ted of local debridement without antifungal drugs. His diagnosis, clin ical course, and outcome illustrates the expanding differential diagno sis faced by the otolaryngologist in patients with nasal disease.