Unilateral cacosmia: a presentation of maxillary fungal infestation

Sally E Erskine; Silke Schelenz; Carl M Philpott

doi:10.1136/bcr-2013-008808

Unilateral cacosmia: a presentation of maxillary fungal infestation

Sally E Erskine, Silke Schelenz, Carl M Philpott

Research output: Contribution to journal › Article › peer-review

Abstract

We present a case of long-standing unilateral cacosmia in a healthy 67-year-old man due to maxillary fungal infestation. Treatment with septoplasty had been attempted 10 years prior but no further investigation or management undertaken and symptoms continued. Subsequent MRI scan revealed significant opacification of the left maxillary sinus. This was readily amenable to treatment by balloon sinuplasty. This yielded viscous grey mucus which grew Scedosporium apiospermum. The case highlights the need for careful investigation of olfactory symptoms, including blood tests to exclude systemic causes, endoscopy and imaging where indicated.

Original language	English
Journal	BMJ Case Reports
Volume	2013
DOIs	https://doi.org/10.1136/bcr-2013-008808
Publication status	Published - 2013

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10.1136/bcr-2013-008808

Cite this

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title = "Unilateral cacosmia: a presentation of maxillary fungal infestation",

abstract = "We present a case of long-standing unilateral cacosmia in a healthy 67-year-old man due to maxillary fungal infestation. Treatment with septoplasty had been attempted 10 years prior but no further investigation or management undertaken and symptoms continued. Subsequent MRI scan revealed significant opacification of the left maxillary sinus. This was readily amenable to treatment by balloon sinuplasty. This yielded viscous grey mucus which grew Scedosporium apiospermum. The case highlights the need for careful investigation of olfactory symptoms, including blood tests to exclude systemic causes, endoscopy and imaging where indicated.",

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AB - We present a case of long-standing unilateral cacosmia in a healthy 67-year-old man due to maxillary fungal infestation. Treatment with septoplasty had been attempted 10 years prior but no further investigation or management undertaken and symptoms continued. Subsequent MRI scan revealed significant opacification of the left maxillary sinus. This was readily amenable to treatment by balloon sinuplasty. This yielded viscous grey mucus which grew Scedosporium apiospermum. The case highlights the need for careful investigation of olfactory symptoms, including blood tests to exclude systemic causes, endoscopy and imaging where indicated.

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