Fungal rhinosinusitis: A clinicomycological perspective

Krishnan, Koyamangalath; Agatha, David; Selvi, R.

doi:10.4103/0255-0857.148407

Cited by 14 publications

(11 citation statements)

References 14 publications

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“…In a study done by Karthikeyan and Coumare, total 67 cases diagnosed to have fungal sinus disease, 35 patients were male and 32 were female patients. 14 Similar male:female ratio (1.25:1) was found in the study done by Krishnan et al 15 A literature review including 98 cases in the 1980s and early 1990s from 29 published journal articles reported an equal M/F incidence. 16 Patients have unilateral as well bilateral symptoms in chronic maxillary sinusitis, while in fungal sinusitis only unilateral symptoms were found in all 9 patients in the present study.…”

Section: Discussionsupporting

confidence: 60%

“…In Krishnan et al study, all the patients presented with symptoms of nasal obstruction and nasal discharge, followed by headache and facial fullness in 82% and 64% of patients, respectively. 15 In the present study, septal deviation, inferior turbinate hypertrophy and nasal polypi were common findings in patients with fungal disease. It is observed that 90% of the patients have deviated nasal septum in a study done by Waghray.…”

Section: Discussionsupporting

confidence: 51%

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Prevalence and clinical profile of patients with chronic fungal maxillary sinusitis

Gupta

2019

Int J Otorhinolaryngol Head Neck Surg

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Background: Fungal paranasal sinus disease is considered to be rare but there has been a marked increase in the number and diversity of reported cases of fungal infections of maxillary sinus in recent years. Objectives were to study the incidence of fungal infection in case of chronic maxillary sinusitis, to identify specific type of fungus involved in maxillary sinus infection and to study clinical profile of the patients with fungal infections of maxillary sinus.Methods: A prospective study of was conducted involving the patients attending outpatient department of Otorhinolaryngology, who were clinically and radiologically proved cases of chronic maxillary sinusitis. Patients diagnosed with underlying paranasal sinus malignancies were excluded from the study. 70 patients of chronic maxillary sinusitis were included in the study. Isolates were identified based on colonial and microscopical morphology. Subcultures were done and slide cultures were prepared to identify the fungi. Results: Fungus was cultured from 12.8% of patients suffering from chronic maxillary sinusitis. The most frequent victims of the disease were young persons in the second decade of life. All patients found positive for fungus had unilateral maxillary sinusitis. Aspergillus niger, Aspergillus fumigatus, Candida albicans and Mucormycosis were the various fungi isolated from cultures of antral washings.Conclusions: The results of the study emphasise the role of fungi as important pathogens of chronic maxillary sinusitis. There must be high index of suspicion of fungal infection when a young adult with a unilateral antral opacity on X-ray with frank pus in antral washings.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionsupporting

confidence: 51%

Prevalence and clinical profile of patients with chronic fungal maxillary sinusitis

Gupta

2019

Int J Otorhinolaryngol Head Neck Surg

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“…Aspergillus flavus was the most commonly identified causative organism. 2,[8][9][10] Clinically, a patient having CGIFS may have all the symptoms of chronic rhinosinusitis. 7 In a Saudi Arabian study of 6 granulomatous and 17 nongranulomatous cases of chronic invasive fungal sinusitis, the most common symptom was nasal obstruction (87%), followed by proptosis.…”

Section: Comparison With Other Studies: Epidemiology and Clinical Prementioning

confidence: 99%

Chronic Granulomatous Invasive Fungal Sinusitis: A Case Series and Literature Review

et al. 2020

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Chronic granulomatous invasive fungal sinusitis (CGIFS) is a peculiar disease of the paranasal sinuses due to its rarity, patient subset, and disease course. We describe 7 cases of histopathologically confirmed CGIFS with different treatment plans and varying outcomes. Of particular note was that one of these patients developed allergic fungal rhinosinusitis after complete resolution of his primary invasive disease, a finding that has never been reported in the literature. Another patient had an atypical fungal species ( Aspergillus nidulans) on fungal stain and culture, while one immunodeficient patient had a large intracerebral disease component and died after 2 months of treatment. We also present a review of the pertinent literature investigating this rare disease.

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“…The prevalence of FRS is increasing daily, and FRS affects patient quality of life and impairs daily functioning. FRS presents itself in five clinical forms [10]. Each form of FRS presents with different criteria for diagnosis, treatment modalities, and prognosis of the disease.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Granulomatous Invasive Fungal Sinusitis in Patients with Clinical Suspicion of Chronic Fungal Rhinosinusitis

Sharif¹,

Ali²,

Nisar³

2019

Cureus

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Introduction One of the common causes of chronic sinusitis is a fungal infection, and there are various types of fungal rhinosinusitis (FRS). Missed diagnosis of occasional granulomatous invasion of fungal sinusitis can lead to involvement in the central nervous system. The aim of this study is to determine the frequency of granulomatous invasive fungal sinusitis (GIFS) in patients with clinical suspicion of chronic FRS. Methods We conducted a descriptive cross-sectional study in the Department of Ear, Nose and Throat (ENT), Nishtar Hospital, Multan from January 1, 2017 to July 1, 2018. Eighty-one patients with chronic FRS participated in the study. After informed consent, nasal tissue was biopsied for granulomatous fungal invasion. Results The frequency of GIFS was 29.6% (n=24) in this study. The significant risk factors included duration of chronic FRS for more than 12 weeks, history of diabetes mellitus, and living status as rural. Conclusion GIFS is a common complication in patients with clinical suspicion of chronic FRS. Nasal biopsy should be a common practice among patients of chronic FRS who have a long duration of disease and a history of diabetes mellitus.

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Fungal rhinosinusitis: A clinicomycological perspective

Abstract: FRS is a continuous spectrum of disease varying in presentation, treatment and long-term sequelae. Correct identification of the fungus remains essential for appropriate treatment.

Cited by 14 publications

References 14 publications

Prevalence and clinical profile of patients with chronic fungal maxillary sinusitis

Prevalence and clinical profile of patients with chronic fungal maxillary sinusitis

Chronic Granulomatous Invasive Fungal Sinusitis: A Case Series and Literature Review

Frequency of Granulomatous Invasive Fungal Sinusitis in Patients with Clinical Suspicion of Chronic Fungal Rhinosinusitis

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