Chronic Invasive Fungal Rhinosinusitis in Immunocompetent Patients: A Retrospective Chart Review

• Published in: Frontiers in surgery Vol. 7; p. 608342
• Main Authors: Alotaibi, Naif H, Omar, Omar Abu, Altahan, Mays, Alsheikh, Haifa, Al Mana, Fawziah, Mahasin, Zeyad, Othman, Eyas
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 16.12.2020
• Subjects: anti-fungal; chronic invasive fungal rhinosinusitis; chronic rhino sinusitis; functional endoscopic sinonasal surgery (FESS); immunocompetent patients; Surgery; anti-fungal; functional endoscopic sinonasal surgery (FESS); chronic rhino sinusitis; chronic invasive fungal rhinosinusitis; immunocompetent patients
• ISSN: 2296-875X; 2296-875X
• DOI: 10.3389/fsurg.2020.608342

We report cases of Chronic Invasive Fungal Sinusitis (CIFS) in patients considered as immunocompetent at tertiary care center (King Faisal Specialist Hospital), to analyze their clinical, biological, radiological features, and management. A retrospective chart review of CIFS in immunocompetent patients. The inclusion criteria as the following: immunocompetent patients of any age with histopathological findings of CIFS. Immunocompromised patients, acute Invasive Fungal Sinusitis (IFS), non-invasive fungal rhinosinusitis, and no positive histological findings were excluded. Seventeen (17) patients were included. The species isolated included: Aspergillus (most frequent) & Mucor. Surgical treatment approaches were described. Complications reported include CSF leak, blindness, recurrence, and death. Early diagnosis and management of CIFS improve clinical outcomes.