Fungal Sinusitis

To the Editor: In their otherwise excellent review of fungal sinusitis (July 24 issue), 1 deShazo et al. have made two minor errors. First, in the text and in Table 1, they describe Pseudallescheria boydii as a dematiaceous (pigmented) mold, whereas in fact it is a hyaline (nonpigmented) mold. 2 Second, the authors use the term “mycetoma” inappropriately as a synonym for fungus ball. Mycetoma refers strictly to invasive, tumefactive, and destructive infections of skin, soft tissue, and bone caused by a wide variety of aerobic actinomycetes and fungi that form compact mycelial aggregates, called grains or granules, within infected tissues. 2 Although . . .