Abstract

Introduction: Fungal rhinosinusitis is the emerging disease of current era, so isolation of fungus is important aspect to plan the treatment modalities accordingly.
 Methods: 50 samples of suspected patients of fungal rhinosinusitis were studied. Various samples like nasal secretion, nasal lavage and tissue were examined on direct microscopy using KOH and processed by standard protocols for fungal culture.
 Result: Out of 50 suspected cases fungal rhinosinusitis was seen in 23 (46%) cases. The 40% of cases were positive by direct microscopy using 20%KOH and 46% were positive by fungal culture. The most common fungal isolates was Aspergillus flavus (65.5%) followed by Aspergillus niger (13%).
 Conclusion: Aspergillus spp. was the most common isolated species among all the cases of fungal rhinosinusitis.
 Keywords: Aspergillus spp., Fungal, Rhinosinusitis.

Highlights

  • Fungal rhinosinusitis is the emerging disease of current era, so isolation of fungus is important aspect to plan the treatment modalities

  • The 40% of cases were positive by direct microscopy using 20%KOH and 46% were positive by fungal culture

  • Earlier fungal infections of paranasal sinuses were considered common in immunocompromised individuals, but there incidence has been increased in immunocompetent individuals in recent years, in North India

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Summary

Introduction

Fungal rhinosinusitis is the emerging disease of current era, so isolation of fungus is important aspect to plan the treatment modalities . Methods: 50 samples of suspected patients of fungal rhinosinusitis were studied. Various samples like nasal secretion, nasal lavage and tissue were examined on direct microscopy using KOH and processed by standard protocols for fungal culture. The 40% of cases were positive by direct microscopy using 20%KOH and 46% were positive by fungal culture. Conclusion: Aspergillus spp. was the most common isolated species among all the cases of fungal rhinosinusitis. Chronic rhinosinusitis has a slow protracted course, and has different etiologies, fungal infections out of these are major cause.[3]. Diagnosis of fungal rhinosinusitis is based on clinical suspicion. Clinical presentation can provide a clue but diagnosis depend upon the microscopic examination and fungal culture from the tissues or nasal secretions obtained from the paranasal sinuses. For establishing the etiological agent, direct microscopy and culture is important [1]

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