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Journal of Clinical Microbiology, October 2003, p. 4885-4887, Vol. 41, No. 10
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.10.4885-4887.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Bipolaris spicifera Causes Fungus Balls of the Sinuses and Triggers Polypoid Chronic Rhinosinusitis in an Immunocompetent Patient

Walter Buzina,* Hannes Braun, Kerstin Schimpl, and Heinz Stammberger

Department of Otorhinolaryngology, Head and Neck Surgery, University Medical School, Graz, Austria

Received 14 April 2003/ Returned for modification 13 June 2003/ Accepted 26 June 2003

We report the rare case of a 19-year-old immunocompetent male suffering both from fungus balls of the sinuses and from chronic rhinosinusitis with massive polyposis. Endoscopic sinus surgery revealed grayish brown necrotic masses embedded in viscous eosinophilic mucus. Inoculated onto petri dishes, these masses as well as the mucus grew a dark pigmented fungus, which was identified as Bipolaris spicifera.


* Corresponding author. Mailing address: ENT-University Hospital, Auenbruggerplatz 26-28, A 8036 Graz, Austria. Phone: 43-316-385-3606. Fax: 43-316-385-7643. E-mail: walter.buzina{at}uni-graz.at.


Journal of Clinical Microbiology, October 2003, p. 4885-4887, Vol. 41, No. 10
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.10.4885-4887.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.