Study of fungal rhinosinusitis

Chaganti, Padmavathi Devi; Rao, Natta B; Devi, K Maruthi; Janani, B.; Vihar, Pamidipalli V; Neelima, G.

doi:10.4103/jdrntruhs.jdrntruhs_98_20

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…A similar trend was observed in our findings, with invasive forms having associations with comorbidities. Like the previous studies, we also observed AFRS as the most prevalent FRS type [ 7 , 9 , 16 ]. On the other hand, few authors found fungal balls as common as AFRS [ 20 , 21 ].…”

Section: Discussionsupporting

confidence: 89%

“…Similarly, the gender predominance in literature has been heterogeneous. Chaganti et al reported fungal sinusitis to be more common in females [ 16 ]. In some studies from Sudan and India, where AFRS was commonly seen in young adult males, it was postulated that these males commonly go to hot and dry climates and develop fungal sinusitis due to exposure and paranasal sinus mucosal injury in the field [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Management of Fungal Rhinosinusitis: Experience From a Tertiary Care Centre in North India

Monga¹,

Malik²,

Sharma³

et al. 2022

Cureus

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Introduction Fungal rhinosinusitis (FRS) has increased over the past few decades due to the rampant use of antibiotics, steroids, immunosuppressive drugs, increased incidence of HIV and uncontrolled diabetes. The current study reviews the types, clinical presentation, microbiology, histopathology and outcomes related to FRS in a tertiary care center in North India. Methods We retrospectively reviewed the clinical and follow-up records of patients diagnosed with FRS over three years. The data reviewed included clinical workup, ophthalmological profile, comorbidities, immunological status, radiological investigations, intraoperative and histopathological findings, treatment and follow-up records. In addition, we performed a descriptive analysis of the reviewed data. Results The study consisted of 30 FRS patients (16 male, 14 female). In that, 77% of cases were of allergic FRS, while fungal ball, chronic invasive, chronic granulomatous and acute invasive FRS represented 3%, 10%, 3% and 7% cases, respectively. The most common presentation in non-invasive forms was nasal obstruction, nasal discharge, hyposmia and polyposis, while it was facial pain and headache in the invasive varieties. After appropriate medical and surgical management through endoscopic sinus surgery, the recurrence rate in non-invasive and invasive fungal sinusitis was 16.6% and 20.8%, respectively. There was nil mortality at a minimum of one year of follow-up. Conclusion The non-invasive forms of FRS are common and have a relatively mild course. Early medical and surgical intervention and management of the underlying comorbidities are the key factors in managing invasive FRS. Close follow-up after surgery is also necessary for the timely detection and management of recurrences.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Management of Fungal Rhinosinusitis: Experience From a Tertiary Care Centre in North India

Monga¹,

Malik²,

Sharma³

et al. 2022

Cureus

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“…Invasive FRS is again divided into acute invasive, chronic invasive, and chronic granulomatous forms. 7 This case belonged to noninvasive FRS.…”

Section: Discussionmentioning

confidence: 92%

Endoscopic sinus surgery for removal of maxillary sinus fungal ball: a case report

Juwarna¹,

Munir²

2022

Int J Otorhinolaryngol Head Neck Surg

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<p>The incidence of fungal rhinosinusitis (FRS) has been increasing over the past decade. FRS is categorized into invasive and non-invasive based on the histopathological evidence of tissue invasion by fungi. According to Hardik Shah, among FRS, 48% were non-invasive, and 52% were invasive. Fungal ball is the most frequent cause of non-invasive FRS, and the most commonly involved sinus is the maxillary sinus, and most cases are unilateral. Nowadays, Endoscopic sinus surgery (ESS) has become the gold standard in treatment of non-invasive FRS, due to its low morbidity and the easy access to the affected paranasal sinus. However, removal of maxillary sinus fungal ball (MSFB) may be long and difficult. Therefore, it is important to keep a sufficient field of view in order to remove the fungal debris completely. Good handling of endoscopic is needed, and furthermore, although the risk of complication of ESS for FRS is low, it is important to understand the potential complications.</p>

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“…COVID-19 was a global pandemic. 1 In the late December 2019, several patients presented with symptoms of pneumonia, with an epidemiological background of sea foods market and wholesale market in Wuhan, China. 2 Later, it was named as 2019 Novel (New) Coronavirus outbreak and the WHO coined the term COVID-19, on February 11, 2020.…”

Section: Introductionmentioning

confidence: 99%

“…5 Inflammation of sinus mucosa is caused by fungi such as Aspergillus, Candida, Mucor, and Penicillium. 1 There was surge in the number of cases of COVID-19 associated with the fungal rhinosinusitis, mainly by Mucormycosis and Aspergillus. 6 The Mucor species is a commensal in the nasal mucosa of healthy people.…”

Section: Introductionmentioning

confidence: 99%

Post-COVID-19 fungal rhinosinusitis – Correlation between histopathological and microbiological findings

Naik

Purushotham

et al. 2023

Asian J Med Sci

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Background: COVID-19 was a global pandemic. In the late December 2019, several patients presented with symptoms of pneumonia. Coronavirus is the pathogen frequently affecting respiratory system and gastrointestinal system. There was surge in the number of cases of COVID-19 associated with the fungal rhinosinusitis, mainly by Mucormycosis and Aspergillus. This study was done to analyze and correlate various fungal etiologies in post-COVID-19 patients presenting with fungal infections and correlating histopathological findings with frozen section, KOH mount findings, and fungus culture. Aims and Objectives: (1) The aims and objectives of the study are to identify the causative fungal species in biopsy specimens of clinically suspected post-COVID-19 fungal rhinosinusitis and (2) to correlate histopathology findings with frozen section, KOH mount, and fungus culture. Materials and Methods: A prospective study conducted over a period of 4 months between May 2021 and August 2021. Total of 30 nasal biopsies were included. Patients’ data were obtained from department of pathology, Hassan Institute of Medical Sciences, Hassan. Results: Out of 30 cases, 66.67% were males and 33.33% were females with male-to-female ratio of 2:1. Majority of the cases were belonged to 41–50 years of age with mean age of 50 years. On histopathological examination, 56.67% cases were Mucor, 10% cases were mixed Mucor and Aspergillus infection. Out of 30 cases, 24 cases showed good correlation between histopathology and fungus culture. Conclusion: In our study, we found good correlation of histopathology with fungus culture findings.

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Study of fungal rhinosinusitis

Cited by 5 publications

References 4 publications

Management of Fungal Rhinosinusitis: Experience From a Tertiary Care Centre in North India

Management of Fungal Rhinosinusitis: Experience From a Tertiary Care Centre in North India

Endoscopic sinus surgery for removal of maxillary sinus fungal ball: a case report

Post-COVID-19 fungal rhinosinusitis – Correlation between histopathological and microbiological findings

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