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

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. A retrospective chart review of CIFS in immunocompetent patie...

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Bibliographic Details
Published in:Frontiers in surgery 2020-12, Vol.7, p.608342-608342
Main Authors: Alotaibi, Naif H, Omar, Omar Abu, Altahan, Mays, Alsheikh, Haifa, Al Mana, Fawziah, Mahasin, Zeyad, Othman, Eyas
Format: Article
Language:English
Subjects:
anti-fungal
chronic invasive fungal rhinosinusitis
chronic rhino sinusitis
functional endoscopic sinonasal surgery (FESS)
immunocompetent patients
Surgery
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Summary: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. 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. 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. Early diagnosis and management of CIFS improve clinical outcomes.
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2020.608342