Article Text

Rare disease
Phaeohyphomycosis masquerading as a palatal neoplasm in a patient who is immunocompetent
  1. Mridula Shukla1,
  2. Vidyarani2,
  3. Anitha Mathews3,
  4. Manoj Pandey4
  1. 1
    Institute of Medical Sciences, Pathology, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India
  2. 2
    Government Dental College, Oral Pathology, Medical College Campus, Trivandrum, Kerala, 695001, India
  3. 3
    Regional Cancer Centre, Pathology, Medical College Campus, Trivandrum, Kerala, 695001, India
  4. 4
    Institute of Medical Sciences, Surgical Oncology, Banaras Hindu Unviersity, Varanasi, Uttar Pradesh, 221005, India
  1. Manoj Pandey, manojpandey{at}


A female patient presented with facial pain, discharge and headache. She had undergone excision of a palatal swelling 2 weeks previously, following which she had developed an oroantral fistula with necrosis of the palate. Imaging studies were suggestive of chronic sinusitis. A biopsy from the maxillary antrum revealed phaeohyphomycosis, a group of fungal infections caused by saprophytic fungi. The patient was treated with antifungal treatment and had a complete response. Phaeohyphomycosis is of rare occurrence in the paranasal sinus and in patients who are immunocompetant. There are only eight previous reports of this occurrence in the literature worldwide.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.