scholarly journals Saprophytic Mycotic Infections of the Nose and Paranasal Sinuses

2009 ◽  
Vol 1 (1) ◽  
pp. 25-32
Author(s):  
Mohan Kameswaran ◽  
S Raghunandhan

Abstract The kingdom of fungi is ubiquitous and omnipresent, having prevailed over the tides of time, over numerous decades by adapting to various methods of survival in the susceptible host including humans. Saprophytic fungi derive nutrition from dead and decaying organic matter, with the capacity to flare up in virulence, provided the right opportunity especially when the host immunity is compromised (as in prolonged steroid therapy, diabetes, HIV infection, tissue transplant recipients) or if there is a breech in a vital barrier permitting deeper tissue penetration (postsurgical or post-traumatic). Hence, knowledge about the saprophytic fungal elements dwelling within the nose and paranasal sinuses is paramount for Otolaryngologists worldwide, in order to accurately diagnose and effeciently manage such intriguing cases. This article provides a broad overview of the various opportunistic fungi in rhinology, and highlights the principles of diagnosis and protocols in management.

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Dhara Vaidya ◽  
Parul Shah

Invasive mycotic infections can be effectively treated if rapid identification of fungus is obtained. We reported a case of coinfection byAspergillusandRhizopussp. involving nose, paranasal sinuses, orbit, and brain in a 68-year-old known hypertensive male. He was presented to ENT OPD with history of fever and intermittent headache since fifteen days along with history of right-sided nasal obstruction and proptosis since seven days. CT scan of brain and paranasal sinuses showed findings of pansinusitis with cellulitic changes in right orbit. MRI confirmed the same along with features of intracranial extension with focal meningitis in right frontotemporal region. Laboratory parameters did not conclude much except for leucocytosis and hyponatremia. Patient was taken for endoscopic debridement from nose and paranasal sinuses, and tissue was sent for microbiological and histopathological examination. Minced tissue was processed, and after 48 hrs of incubation two types of growth were identified, one was yellowish, granular, and powdery consistent withAspergillussp., and another was cottony and woolly consistent withRhizopussp. LCB mount confirmed presence ofAspergillus flavusandRhizopus arrhizus. Patient responded to therapy with IV amphotericin B and surgical debridement. On discharge patient's condition was good.


2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i587-i588
Author(s):  
Yuri Battaglia ◽  
Giulia Piazza ◽  
Elena Martino ◽  
Sara Massarenti ◽  
Luana Peron ◽  
...  

1993 ◽  
Vol 7 (2) ◽  
pp. 59-65 ◽  
Author(s):  
John R. Wanamaker ◽  
Hayes H. Wanamaker ◽  
Bernard Kotton ◽  
Greg D. Akers ◽  
Pierre Lavertu

Schwannomas are benign neoplasms arising from the peripheral nerve sheath. The sinonasal tract is an unusual location for these neoplasms. Because of their rarity, few series have been reported. Five previously unreported cases of schwannomas of the nose and paranasal sinuses are presented that illustrate the spectrum of disease. The clinical presentation, diagnostic work-up, clinical course, and diverse therapeutic approaches will be discussed. A management philosophy based on the diversity of these tumors and their clinical behavior, and incorporating the new diagnostic and therapeutic tools available to the clinician will be presented. The implications of newer diagnostic techniques including sinonasal endoscopy, magnetic resonance imaging, and immuno-chemistry in the diagnosis and treatment of these tumors will be discussed.


2005 ◽  
Vol 125 (5) ◽  
pp. 566-570 ◽  
Author(s):  
J. M. Sánchez Fernández ◽  
F. Santaolalla ◽  
A. Sánchez Del Rey ◽  
A. Martínez-Ibargüen ◽  
A. González ◽  
...  

1992 ◽  
Vol 49 (3) ◽  
pp. 193-196 ◽  
Author(s):  
P Comba ◽  
P G Barbieri ◽  
G Battista ◽  
S Belli ◽  
F Ponterio ◽  
...  

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