PREVALENCE OF FUNGAL ISOLATES IN UNILATERAL SINONASAL DISEASE

Abstract

Fungal sinusitis has been on a rising trend and poses a health burden. Our study aims to nd out the prevalence of fungal isolates in unilateral sinonasal disease and its association with diabetes mellitus. A prospective study was conducted for 2years from August 2017 to August 2019. 150 patients were selected for study based on history, Diagnostic nasal endoscopy and radiological ndings. Patients were subjected to Functional Endoscopic Sinus Surgery (FESS). Sample collected has been sent for fungal smear, fungal culture and Histopathological examination. 50 (33.3%) patients were diagnosed with fungal rhinosinusitis based on fungal smear positivity and histopathology showing fungal elements. 100 (66.7 %) patients were categorized as non-fungal rhinosinusitis. Among the cases of fungal rhinosinusitis, 28 patients (56% of fungal rhinosinusitis) were diagnosed as allergic fungal rhinosinusitis, 15 patients (30% of fungal rhinosinusitis) were diagnosed as acute invasive fungal rhinosinusitis and 7 patients (14 % of fungal rhinosinusitis) were categorized as a fungal ball. A strong association has been found between fungal sinusitis and diabetes mellitus.