STUDY OF HISTOPATHOLOGIC SPECTRUM AND MICROBIOLOGIC CORRELATION OF SINONASAL FUNGAL RHINOSINUSITIS

Abstract

Fungal Rhinosinusitis is common in sinonasal tract and it can be non-invasive and invasive.
Non-invasive when there is either a fungus ball or an allergic fungal rhinosinusitis. Invasive
forms present clinically as acute, chronic and chronic granulomatous rhinosinusitis. 100
patients with fungal sinusitis and rhinitis were studied in this study, 88% were non-invasive
(46% had allergic fungal rhinosinusitis, 40% Fungus ball , and 2% combined allergic fungal
rhinosinusitis, 12% were invasive. Histopathology and fungal isolates confirmed aspergillus
sp in 54% of cases, Candida sp in 34% cases however 10% isolates were Penicillium and
fusarium and Mucor was found in two percent of cases of invasive mucormycosis.