Fungal Sinusitis: A Prospective Clinical Study

Abstract

Background: Fungal sinusitis is a distinct clinical entity marked by inflammation of the sinus mucosa produced by Aspergillus (fumigatus, niger, flavus), mucormycosis, Candida(albicans), Scedosporium, and pencillium infections. Immunocompromised patients, farmers, garbage collectors, and patients on long-term nasal sprays are among those who are afflicted. There are several forms of fungal sinusitis, including fungal mycetoma, allergic fungal, chronic indolent, and fulminant sinusitis, which can cause chronic headaches, face swelling, and vision loss. Patients may have polyposis and have thick purulent nasal discharge, nasal obstruction, epistaxis, cheek swelling, and thick purulent nasal discharge. Fungi colonisation is likely to be inhibited by resident bacterial flora through a variety of methods. Antimicrobial medication thus promotes the proliferation of typical fungal flora, such as Candida species, as well as the growth of opportunists such as Aspergillus [1]. The most prevalent condition is allergic fungal rhinosinusitis. The most prevalent fungal infection is aspergillosis. The most common fungal pathogen is Aspergillus fumigatus. The maxillary sinuses are frequently affected. Methods: This is a prospective study conducted at Kunal Institute of Medical Specialities Pvt Ltd's department of otorhinolaryngology. After a thorough history taking and clinical assessment, the patient is chosen for a nasal swab, culture, and sensitivity test. A simple X-ray of the nose and paranasal sinuses. The nose and paranasal sinuses are scanned with a CT scanner. Endoscopy of the nose for diagnostic purposes. Results: The most common ailment was allergic fungal sinusitis, with aspergillosis being the most prevalent pathogen. Conclusion: Allergic fungal sinusitis was most common in people aged 20 to 29, with the maxillary sinus being the most commonly afflicted.