Fungal sinusitis

Although sinusitis affects about 20 % of the population, fungal sinusitis is rare. Aspergillus sp. are most frequently implicated. Fungal sinusitis represents a wide spectrum of disorders, including acute or chronic and invasive or non-invasive forms. Invasive fungal sinusitis may develop in an immu...

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Bibliographic Details
Published inRevue des maladies respiratoires Vol. 34; no. 6; p. 672
Main Authors Lafont, E, Aguilar, C, Vironneau, P, Kania, R, Alanio, A, Poirée, S, Lortholary, O, Lanternier, F
Format Journal Article
LanguageFrench
Published France 01.06.2017
Subjects
Antifungal Agents - therapeutic use
Diagnosis, Differential
Humans
Immunocompromised Host
Mycoses - diagnosis
Mycoses - epidemiology
Mycoses - therapy
Respiratory Tract Infections - diagnosis
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - microbiology
Respiratory Tract Infections - therapy
Sinusitis - diagnosis
Sinusitis - epidemiology
Sinusitis - microbiology
Sinusitis - therapy
Fungi
Traitement
Treatment
Champignons
Diagnostic
Diagnosis
Sinusitis
Sinusite
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Summary:Although sinusitis affects about 20 % of the population, fungal sinusitis is rare. Aspergillus sp. are most frequently implicated. Fungal sinusitis represents a wide spectrum of disorders, including acute or chronic and invasive or non-invasive forms. Invasive fungal sinusitis may develop in an immunocompromised or diabetic patient, whereas non-invasive fungal sinusitis should be considered in a chronic situation, resistant to antibiotics in immunocompetent patients. Allergic fungal sinusitis is related to hypersensitivity of the host to the fungus. The diagnosis of these infections requires radiological examination and endoscopy with mucosal biopsies examined histologically and mycologically in order to distinguish the different types of sinusitis. In the non-invasive forms, surgical treatment is essential, sometimes combined with antifungal and anti-inflammatory treatment. The invasive forms require antifungal treatment, combined with surgery in some forms, particularly mucormycosis.
ISSN:1776-2588
DOI:10.1016/j.rmr.2016.09.004