Invasive Fungal Rhinosinusitis Due to Co-infection with Mucormycosis and Exserohilum rostratum in a Patient with Acute Lymphoblastic Leukemia

Author:

Radici Vera,Brissot Eolia,Chartier Suzanne,Guitard Juliette,Fabiani Bettina,Memoli Mara,Banet Anne,Heuberger Laurence,Lapusan Simona,Atallah Sarah,Legrand Ollivier,Genthon AlexisORCID

Abstract

AbstractInvasive fungal infections remain an important cause of complication and morbidity in the management of acute leukemias. Here we report the case of a 27-year-old patient from French Polynesia who was diagnosed with Philadelphia chromosome-negative B-cell acute lymphoblastic leukemia. After induction chemotherapy, she developed rhinosinusitis with extensive bone lysis. The context and clinical presentation quickly made us suspect an invasive mucormycosis infection. However, a multidisciplinary investigation including mass spectrometry techniques also revealed the presence of Exserohilum rostratum, a pathogen member of the genus Exserohilum that is ubiquitous in tropical and subtropical regions but rarely implicated in invasive sinusitis. Antifungal treatment combined with an early surgical approach resulted in a favorable clinical response.

Publisher

AquacultureHub

Subject

Electrical and Electronic Engineering,Atomic and Molecular Physics, and Optics

Reference12 articles.

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