Volume : VI, Issue : IX, September - 2016

CLINICOPATHOLOGICAL PROFILING OF FUNGAL SINUSITIS

Dr. L. Sudarshan Reddy, Dr. Ch. Venkatrathnam, Dr. C. Sreenivas

Abstract :

 INTRODUCTION: Fungal rhino sinusitis has recently gained importance in last two decades. The knowledge of incidence, prevalence, type of fungal disease will help the medical fraternity in advocating better care MATERIALS AND METHODS OF THE STUDY: Prospective Prevalence Study in a Teaching Government ENT Hospital, Koti, Hyderabad , over a Study period of 2 years. RESULTS: Of 1,52,435 Out–Patients screened, 75416 (49.47%) patients had nasal symptoms and of these 485 (0.64%) patients had Nasal Polyposis and underwent Functional Endoscopic Sinus Surgery with Polypectomy, in that only 70 cases (0.046%) were found with Histopathological features of fungal sinusitis . CONCLUSION: This clinico – mycologico – pathological correlation in fungal sinusitis was done after extensive screening of a sizeable population of 1,52,435, of the Deccan Plateau. The salient results in our study are 1. with a histopathological diagnosis the incidence of Fungal Sinusitis is about 0.046 % in the general population. Even though statistically the incidence is minimal, all ENT practitioners need to be wary of the importance of the illness and the associated morbidity it might leave, which can be preventable. 2. Bimodal age distribution with a second peak in the 6th decade which is not seen in the literature 3. Females are more commonly affected with a ratio of 1:1.322 on comparison with Males. 4. Predominant symptoms were Nasal obstruction and Nasal discharge with an incidence of 21.42 and 11.42 % respectively 5. Polyps are seen in 50.14 % of the patients whereas mucopurulent discharge is seen in only 15.7 % of the patients in the study. 6. Allergic manifestations are seen in 52 % of the study population with 30 % having Allergic Rhinitis and 22.8 % having Asthma. 7. Aspergillus subspecies were the commonest organism isolated and seen in 62.85% of the mycological culture and Madurella species were in 5 % of the samples.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.L.Sudarshan Reddy, Dr.Ch.Venkatrathnam, Dr.C.Sreenivas CLINICOPATHOLOGICAL PROFILING OF FUNGAL SINUSITIS Indian Journal of Applied Research,Volume : 6 | Issue : 9 | September 2016

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