スエヒロタケによるアレルギー性真菌性鼻副鼻腔炎の1例

抄録

Here, we report a case of allergic fungal rhinosinusitis (AFRS) caused by Schizophyllum commune, a rare fungus. Asthma associated with S. commune tends to be poorly controlled.

A 36-year-old woman with bronchial asthma experiencing persistent nasal congestion for several months was referred to our department. Preoperatively, the patient was diagnosed with AFRS due to elevated multi-fungal immunoglobulin E (IgE) levels on radioallergosorbent test and hyperintense lesions on sinus computed tomography (CT), suggesting the presence of eosinophilic mucins. Postoperatively, the causative fungus was identified using polymerase chain reaction (PCR) and measurement of serum S. commune-specific IgE antibody levels.