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Maxillary sinusitis and fungal infection
M Hassan1, M H Khan, A U Ahmed
1Shahid Suhrawardy Medical College, Sher-e-Bangla Nagar, Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|August 2, 2011
Summary
Fungal maxillary sinusitis affects over 12% of patients, presenting with symptoms like post-nasal drip and headache. Antifungal treatment combined with antibiotics achieved a 100% cure rate in this study.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Mycology
Background:
- Maxillary sinusitis is a common condition.
- Fungal causes are often underdiagnosed.
- Identifying fungal etiology is crucial for effective treatment.
Purpose of the Study:
- To determine the prevalence of fungal etiology in maxillary sinusitis.
- To identify the clinical presentation of fungal maxillary sinusitis.
- To evaluate the treatment outcomes for fungal maxillary sinusitis.
Main Methods:
- A 5-year cross-sectional study involving 63 clinically and radiologically diagnosed maxillary sinusitis patients.
- Laboratory specimens collected via antral lavage and endoscopic biopsy.
- Histopathological and fungal staining for etiological diagnosis.
Main Results:
- 8 (12.69%) patients were diagnosed with laboratory-proven fungal maxillary sinusitis.
- All identified fungal infections were non-invasive.
- Common symptoms included post-nasal drip (100%), headache (100%), and nasal obstruction (65%).
Conclusions:
- Fungal infections represent a significant, albeit underdiagnosed, cause of maxillary sinusitis.
- Prompt diagnosis and appropriate antifungal therapy lead to high cure rates.
- Further research into fungal sinusitis is warranted.
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