A case of invasive fungal sinusitis by candida species causing blindness

Subhramanyam C, Revoori MK, Padiki S, Mohiuddin KM, Kaul S, Uppin MS, Pranathi B

Pdf Page Numbers :- 41-44

Subhramanyam C^1,*, Mahesh Kumar Revoori¹, Snehalatha Padiki¹, Kashif Mohammed Mohiuddin², Kaul S¹, Megha S Uppin³ and Pranathi B⁴

¹Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

²Department of Pathology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

³Department of Pathology, Nizam's Institute of Medical Sciences, Hyderabad - 500082, Telangana, India

⁴Department of Ophthalmology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. C. Subhramanyam, MS., ENT (PGI, Chandigarh), Consultant surgeon, Department of Oto Rhino Laryngology, Krishna Institute of Medical Sciences (KIMS), Secunderabad-500003, Telangana, India. Email: drcsubrahmanyam@gmail.com

Received 9 September 2020; Revised 27 November 2020; Accepted 10 December 2020; Published 26 December 2020

Citation: Subhramanyam C, Revoori MK, Padiki S, Mohiuddin KM, Kaul S, Uppin MS, Pranathi B. A case of invasive fungal sinusitis by candida species causing blindness. J Med Sci Res. 2021; 9(1):41-44. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-7

Copyright: © 2021 Subhramanyam C et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Invasive fungal sinusitis (IFS) is a common manifestation in immunocompromised patients. The common offenders are Aspergillus and Mucor. These fungal infections can cause various systemic complications, both intracranial and extracranial. Ultimately it may lead to fungemia and death. Very few cases of IFS caused by candida have been reported in the literature. Candida is a yeast like fungus, present normally as a commensal in the oral cavity and skin. Invasive fungal sinusitis with central retinal artery occlusion (CRAO) with candida is extremely rare. We are reporting a case of cavernous sinus thrombosis (CST) with CRAO causing bilateral blindness in a patient with invasive candida sinusitis.

Keywords: invasive fungal sinusitis; Candida; Aspergillus; fungal infections