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Fungal sinusitis

R D deShazo1

  • 1Department of Medicine, University of Mississippi Medical Center, Jackson 39216-4505, USA.

The American Journal of the Medical Sciences
|July 22, 1998
PubMed
Summary
This summary is machine-generated.

Fungal sinusitis classification is now established, improving diagnosis and treatment. Further research is needed for optimal clinical management of this common condition.

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Area of Science:

  • Otolaryngology
  • Mycology
  • Infectious Diseases

Background:

  • Historically, fungal sinusitis lacked diagnostic criteria and classification, leading to limited understanding.
  • Previous reports often broadly categorized cases as "aspergillus sinusitis," irrespective of invasiveness.
  • This lack of specificity hindered research on diagnosis, natural history, and treatment.

Purpose of the Study:

  • To review the current diagnostic criteria and clinical classifications for fungal sinusitis.
  • To present a new classification system for fungal sinusitis.
  • To outline the clinical approach to patients diagnosed with fungal sinusitis.

Main Methods:

  • Review of published diagnostic criteria and clinical descriptions.
  • Introduction of a new classification system for fungal sinusitis.

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  • Discussion of the clinical approach to fungal sinusitis patients.

    • Main Results:

    • Established diagnostic criteria and clinical descriptions for allergic fungal sinusitis, sinus mycetoma, and invasive fungal sinusitis.
    • A new classification system for fungal sinusitis has been proposed.
    • Guidelines for the clinical approach to fungal sinusitis are now available.

    Conclusions:

    • The development of diagnostic criteria and classification has enhanced the understanding of fungal sinusitis.
    • While significant progress has been made, optimal clinical management requires further investigation.
    • Fungal sinusitis is a prevalent condition necessitating continued research for improved patient outcomes.