Publication: Fungal Maxillary sinusitis: A prospective study in a tertiary care hospital of eastern Nepal
Date
2007
Authors
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Journal ISSN
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Publisher
Kathmandu University
Abstract
Introduction: The incidence of mycotic infections and the diversity of pathogenic fungi have increased
dramatically in recent years. Fungal sinusitis should be considered in all the patients with chronic maxillary sinusitis
(CMS), especially in association with certain clinical features that serve as clue to the diagnosis. Aspergillus is the
most common fungal pathogen in maxillary sinus.
Methodology: A total of 100 patients those who fulfilled the diagnostic criteria (Lanza and Kennedy3
, 1992) for
chronic rhinosinusitis were eligible for this open level and randomized prospective study. Only those above 14 years
of age were included.
Results: Fungal maxillary sinusitis was seen in 14% of all cases of chronic maxillary sinusitis in eastern part of
Nepal. We identified Acremonium and Candida species as commonest fungi involved in fungal maxillary sinusitis
(FMS). To the best of our knowledge this is the first such study conducted in eastern Nepal.
Key words: Fungus, Sinusitis, Maxillary
Description
Joshi RR 1 , Bhandary S 2, Khanal B3, Singh RK 4
1Senior Resident, 2 Associate Professor, 4 Assistant Professor, Department of Otolaryngology Head and Neck Surgery 3 Additional Professor, Department of Microbiology, B P Koirala Institute of Health Sciences, Dharan, Nepal