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<p>Fungal Rhinosinusitis encompasses a spectrum of sinonasal infections caused by a diverse array of fungal pathogens. It aims to evaluate clinical, mycological, pathological &amp; etiological factors, highlighting its imaging and management protocol. An observational cross-sectional study of 40 patients of Fungal Rhinosinusitis within span of last one year was conducted with study population of patients admitted in department with clinic- radiological and mycological diagnosis of Fungal Rhinosinusitis. Fungal Rhinosinusitis is commonly seen in 3rd decade with female preponderance (70%). Majority were diabetics (42.5%), comprising unilateral nasal obstruction (80%), facial deformity (55%), of which proptosis (20%) &amp; broadened nose (27.5%). Nasal discharge was mucoid (42.5%), odourless (55%) and non-bloodstained (70%). Headache (20%), intracranial extension (7.5%) were seen. Aspergillus was most common organism isolated (65%) with A.flavus (37.5%) 0.70% showed double density sign on CT scan, mostly cases of Allergic Fungal Rhinosinusitis treated by Functional Endoscopic Sinus Surgery, 40% showed recurrence. Fungal Rhinosinusitis is an important clinical entity which must be considered in all patients presenting with unresolving rhinosinusitis. Mycological identification plays a crucial role in its diagnosis. Early surgical intervention and postoperative medical management is important.</p>

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Clinico-mycological Study and Management of Fungal Rhinosinusitis in a Tertiary Care Hospital in Eastern India

  • 期刊论文

  • 发表日期：

    2026年6月19日

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  • Divya Daga,
  • Anita Nandi,
  • Amit Kumar Shukla,
  • Debjit Jana,
  • Diptanshu Mukherjee,
  • Mainak Dutta,
  • Saumendra Nath Bandyopadhyay

摘要

Fungal Rhinosinusitis encompasses a spectrum of sinonasal infections caused by a diverse array of fungal pathogens. It aims to evaluate clinical, mycological, pathological & etiological factors, highlighting its imaging and management protocol. An observational cross-sectional study of 40 patients of Fungal Rhinosinusitis within span of last one year was conducted with study population of patients admitted in department with clinic- radiological and mycological diagnosis of Fungal Rhinosinusitis. Fungal Rhinosinusitis is commonly seen in 3rd decade with female preponderance (70%). Majority were diabetics (42.5%), comprising unilateral nasal obstruction (80%), facial deformity (55%), of which proptosis (20%) & broadened nose (27.5%). Nasal discharge was mucoid (42.5%), odourless (55%) and non-bloodstained (70%). Headache (20%), intracranial extension (7.5%) were seen. Aspergillus was most common organism isolated (65%) with A.flavus (37.5%) 0.70% showed double density sign on CT scan, mostly cases of Allergic Fungal Rhinosinusitis treated by Functional Endoscopic Sinus Surgery, 40% showed recurrence. Fungal Rhinosinusitis is an important clinical entity which must be considered in all patients presenting with unresolving rhinosinusitis. Mycological identification plays a crucial role in its diagnosis. Early surgical intervention and postoperative medical management is important.