Frontiers in Surgery (Dec 2020)

Chronic Invasive Fungal Rhinosinusitis in Immunocompetent Patients: A Retrospective Chart Review

  • Naif H. Alotaibi,
  • Naif H. Alotaibi,
  • Omar Abu Omar,
  • Mays Altahan,
  • Haifa Alsheikh,
  • Fawziah Al Mana,
  • Zeyad Mahasin,
  • Eyas Othman,
  • Eyas Othman

DOI
https://doi.org/10.3389/fsurg.2020.608342
Journal volume & issue
Vol. 7

Abstract

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Objective: We report cases of Chronic Invasive Fungal Sinusitis (CIFS) in patients considered as immunocompetent at tertiary care center (King Faisal Specialist Hospital), to analyze their clinical, biological, radiological features, and management.Material and methods: A retrospective chart review of CIFS in immunocompetent patients. The inclusion criteria as the following: immunocompetent patients of any age with histopathological findings of CIFS. Immunocompromised patients, acute Invasive Fungal Sinusitis (IFS), non-invasive fungal rhinosinusitis, and no positive histological findings were excluded.Results: Seventeen (17) patients were included. The species isolated included: Aspergillus (most frequent) & Mucor. Surgical treatment approaches were described. Complications reported include CSF leak, blindness, recurrence, and death.Conclusions: Early diagnosis and management of CIFS improve clinical outcomes.

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