Invasive Sino-Orbital Aspergillosis and Tinea Corporis Co-Infection in a Returned Traveler from Flooded Sylhet, Bangladesh

Hannah Ward Barts Health NHS Foundation Trust, London, United Kingdom;

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Alireza Abdolrasouli King’s College Hospital NHS Foundation Trust, London, United Kingdom

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Curtis Offiah Barts Health NHS Foundation Trust, London, United Kingdom;

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Samir Agrawal Barts Health NHS Foundation Trust, London, United Kingdom;

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Efthymios Hadjimichael Barts Health NHS Foundation Trust, London, United Kingdom;

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Hannah Cottom Barts Health NHS Foundation Trust, London, United Kingdom;

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Marcin Ligaj Barts Health NHS Foundation Trust, London, United Kingdom;

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Anjaneya Bapat King’s College Hospital NHS Foundation Trust, London, United Kingdom

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ABSTRACT.

We report a case of co-infection with Aspergillus fumigatus causing invasive sino-orbital aspergillosis and Trichophyton interdigitale tinea corporis in a returned traveler from flooded Sylhet region, Bangladesh. Anthropogenic climate change may lead to increased extreme weather–associated fungal infections. Travel to a flooded area should be considered a risk factor for fungal infection.

Author Notes

Current contact information: Hannah Ward, Curtis Offiah, Samir Agrawal, Efthymios Hadjimichael, Hannah Cottom, and Marcin Ligaj, Barts Health NHS Foundation Trust, London, United Kingdom, E-mails: hannah.ward22@nhs.net, c.offiah@nhs.net, samir.agrawal@nhs.net, e.hadjimichael@nhs.net, hannah.cottom1@nhs.net, and marcin.ligaj@nhs.net. Alireza Abdolrasouli and Anjaneya Bapat, King’s College Hospital NHS Foundation Trust, London, United Kingdom, E-mails: alireza.abdolrasouli@nhs.net and anjaneya.bapat@nhs.net.

Address correspondence to Hannah Ward, Barts Health NHS Foundation Trust, London E1 1FR, United Kingdom. E-mail: hannah.ward22@nhs.net
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