Differing rates of fungi in sinonasal cultures from pediatric sinusitis patients

Gitomer, Sarah A.; Poore, T. Spencer; Anand, Grace Shebha; Canadas, Karina

doi:10.1016/j.ijporl.2022.111125

Cited by 1 publication

(1 citation statement)

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“…4,5 The two peaks in the age distribution of fungal sinusitis reported in the literature are the elderly and pediatric population with comorbidities like nasal polyps, immunemediated disorders, cystic fibrosis, etc. 7,8 However, there must always be a high index of suspicion for diagnosing fungi in all age groups. Risk factors include uncontrolled diabetes, any kind of malignancy, post-transplantation patients, those receiving immunosuppressive therapy, and patients with human immunodeficiency virus.…”

Section: Discussionmentioning

confidence: 99%

Fungal sinusitis in an immunocompetent patient: a case report

et al. 2022

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<p>The frequency of fungal rhinosinusitis is increasing over the last two decades worldwide. It is classified into two main types: the invasive disease with a poor prognosis which is predominantly seen in patients with some form of immunosuppression and chronic fungal rhinosinusitis usually affecting the immunocompetent individuals. We present a case of fungal sinusitis in an immunocompetent 40-year-old male. The patient had a history of recent onset of progressive nasal blockage, discharge, and cough. Computed tomography scan of paranasal sinuses showed bilateral maxillary, left ethmoidal and sphenoidal sinusitis, and left inferior nasal turbinate hypertrophy. The sample received was necrotic slough from the nose that was processed for histopathology, and special stains, including Grocott’s Methenamine Silver and Periodic Acid Schiff were applied based on which the diagnosis of non-invasive fungal infection was made. Due to early diagnosis, the patient responded well to sinus clearance and conservative management in the clinical setting.</p>

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Section: Discussionmentioning

confidence: 99%