fungal sinusitis

Lamyaa Anwar Alghafli

211523025

Objectives

Background

Types

Clinical presentation

Background:- Fungus

Plant-like organisms that lack chlorophyll.

Immune system suppression fungi invade the body.

Why sinus ??!!

Background:- sinus

It’s connected system of hollow cavities in the skull.

They’re empty except for a thin layer of mucus.

The purpose ?!!

Background

The sinus cavities include:

Maxillary Frontal

Ethmoid Sphenoid

TypesNon

invasive

Allergic fungal sinusitis

Sinus mycetoma

Invasive

Acute invasive fungal sinusitis

Chronic invasive fungal

sinusitis

Granulomatous invasive fungal

sinusitis

Types

Aspergillus Mucor.

Invasive infections dark, thick, greasy material.

Noninvasive infections symptoms of sinusitis.

Allergic Fungal Sinusitis

Allergic mucin and polyps partially

calcified expansile mass obstructs

sinus drainage.

consistency of

peanut butter

mixed with sand

and glue.

Allergic Fungal Sinusitis

Clinical presentation:

Facial pressure nasal stuffiness cough Proptosis or eye

headache discharge muscle entrapment

Sinus mycetoma

Unilateral maxillary sinus

Patients are immunocompetent.

Mucopurulent

cheesy, or claylike

material

Sinus mycetoma

Clinical presentation:

Similar to sinusitis.

Polyposis mainly on one side.

The main report is blowing of gravel-like material.

Acute Invasive Fungal Sinusitis

immunocompromised patients diabetic patients

Rapid spread vascular invasion orbit and CNS.

They usually require hospitalization.

Acute Invasive Fungal Sinusitis

Very ill, Fever

Nasal discharge

Headache

Cough

Mental

statues

changes

Chronic invasive fungal sinusitis

Diabetic patients

slowly progressive, low-grade invasive process.

Chronic invasive fungal sinusitis

Clinical presentation:

Similar to sinusitis.

Associated with:

Orbital apex syndrome:- decrease in vision and ocular

immobility due to a mass in the superior portion of the orbit.

Granulomatous invasive fungal sinusitis

Normal immune status.

Slow time course, and enlarging mass in the

cheek, orbit, nose, and sinuses.

Granuloma

Granulomatous invasive fungal sinusitis

Clinical presentation:

Similar to sinusitis + proptosis.

Sources

http://www.entnet.org/content/fungal-sinusitis

http://emedicine.medscape.com/article/863062-overview

http://www.webmd.com/allergies/picture-of-the-sinuses

http://care.american-rhinologic.org/fungal_sinusitis

http://emedicine.medscape.com/article/863062-overview#a0112

http://www.patient.co.uk/health/acute-sinusitis

http://www.mayoclinic.org/diseases-conditions/chronic-

sinusitis/basics/symptoms/con-20022039