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Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
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Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
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Fungal Sinusitis-Invasive Versus Noninvasive.

Christine Franzese1

  • 1Department of Otolarynology-Head and Neck Surgery, University of Missouri-Columbia, One Hospital Drive, Suite MA314, Columbia, MO 65212, USA.

The Medical Clinics of North America
|November 8, 2025
PubMed
Summary
This summary is machine-generated.

Fungal sinusitis, uncommon and diverse, includes noninvasive (SNFB, AFRS) and invasive types. Treatment varies by type and patient immunity, often involving surgery, antifungals, and immune support.

Keywords:
Acute invasive fungal sinusitisAllergic fungal rhinosinusitisChronic invasive fungal sinusitisFungal sinusitisFungus ball

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Area of Science:

  • Otolaryngology
  • Mycology
  • Immunology

Background:

  • Fungal sinusitis is a rare condition with distinct clinical presentations.
  • It is broadly classified into noninvasive and invasive forms.
  • Noninvasive types affect immunocompetent individuals, while invasive forms impact the immunocompromised.

Purpose of the Study:

  • To outline the classification of fungal sinusitis.
  • To describe the distinct characteristics and treatment strategies for each type.
  • To emphasize diagnostic approaches and management principles.

Main Methods:

  • Literature review of fungal sinusitis classification.
  • Analysis of clinical presentations of noninvasive and invasive fungal sinusitis.
  • Summary of current diagnostic imaging and biopsy techniques.
  • Overview of treatment modalities including surgery, antifungal therapy, and immune management.

Main Results:

  • Noninvasive forms include sinonasal fungus ball (SNFB) and allergic fungal rhinosinusitis (AFRS).
  • SNFB typically affects older, immunocompetent patients unilaterally, treated with surgery.
  • AFRS affects younger patients with fungal hypersensitivity, treated with surgery and medical therapy.
  • Invasive fungal sinusitis (acute/chronic) affects immunocompromised individuals, requiring urgent intervention.

Conclusions:

  • Accurate diagnosis via imaging and biopsy is crucial.
  • Treatment requires a multimodal approach: surgery, antifungals, and immune status management.
  • Differentiating fungal sinusitis types ensures appropriate and timely patient care.