Abstract

Introduction: Acute invasive fungal rhinosinusitis is uncommon, potentially lethal, being opportunistic infection seen mainly in diabetics and immunocompromised individuals. It is one form of infection that appears to be increasing in frequency? The classification is based on the immunological relationship between fungus and host and existing invasive and noninvasive forms. Acute fulminant fungal sinusitis is usually found in neutropenic patients with cancer of lymphoreticular or hematopoietic systems and has invasion of blood vessels character. In this group, aspergillosis is responsible for more than 80% of infections, especially Aspergillus fumigatus. The treatment is surgery with wide debridement, systemic antifungal drugs, and correction of underlying metabolic or immunologic disorders.

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