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Fungal Rhinosinusitis : A Retrospective Microbiologic and Pathologic Review of 400 Patients at a Single University Medical Center
Joint Authors
Chiu, Alexander G.
Montone, Kathleen T.
Feldman, Michael D.
Loevner, Laurie A.
Palmer, James
Kennedy, David W.
Lanza, Donald C.
Livolsi, Virginia A.
Nachamkin, Irving
Source
International Journal of Otolaryngology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Fungal Rhinosinusitis (FRS) is a well known entity, but only in more recent times have the types of FRS been more fully defined.
In this study, we evaluate the diagnosis of FRS in a single medical center.
Cases were divided into 2 main categories, non-invasive and invasive.
Non-invasive FRS included fungus ball (FB) and allergic fungal rhinosinusitis (AFRS).
Invasive FRS included acute invasive fungal rhinosinusitis (AIFRS), chronic invasive fungal rhinosinusitis (CIFRS), and chronic invasive granulomatous fungal rhinosinusitis (CGFRS).
Fungal culture data, if available was reviewed.
400 patients with FRS were identified.
87.25% were non-invasive (45% AFRS, 40% FB, and 2% combined AFRS and FB and 12.5% were invasive 11% AIFRS 1.2% CIFRS 0.5% CGFRS.
One patient (0.25%) had combined FB/CGFRS.
Aspergillus sp.
or dematiaceous species were the most common fungi isolated in AFS while Aspergillus sp.
was most common in FB and AIFRS.
In our experience, most FRS is non-invasive.
In our patient population, invasive FRS is rare with AIFRS representing >90% of cases.
Culture data supports that a variety of fungal agents are responsible for FRS, but Aspergillus sp.
appears to be one of the most common organisms in patients with FRS.
American Psychological Association (APA)
Montone, Kathleen T.& Livolsi, Virginia A.& Feldman, Michael D.& Palmer, James& Chiu, Alexander G.& Lanza, Donald C.…[et al.]. 2012. Fungal Rhinosinusitis : A Retrospective Microbiologic and Pathologic Review of 400 Patients at a Single University Medical Center. International Journal of Otolaryngology،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-490393
Modern Language Association (MLA)
Montone, Kathleen T.…[et al.]. Fungal Rhinosinusitis : A Retrospective Microbiologic and Pathologic Review of 400 Patients at a Single University Medical Center. International Journal of Otolaryngology No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-490393
American Medical Association (AMA)
Montone, Kathleen T.& Livolsi, Virginia A.& Feldman, Michael D.& Palmer, James& Chiu, Alexander G.& Lanza, Donald C.…[et al.]. Fungal Rhinosinusitis : A Retrospective Microbiologic and Pathologic Review of 400 Patients at a Single University Medical Center. International Journal of Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-490393
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490393