5. Allergic Fungal Rhinosinusitis: Microbiologic and Pathologic Review
1. Abdul Latif Kakar 2. Khalid Mahmood 3. Muhammad Iqbal
1. Assoc. Prof. of ENT, Head & Neck Surgery, BMC/H, Quetta 2,3. Asstt. Profs. of ENT CMC/Chaudhary Rehmat
Ali Memorial Trust Hospital, Lahore
Objective: To observe the various aspects of allergic fungal rhinosinusitis (AFRS).
Study Design: Prospective Study
Place and Duration of Study: This study was conducted at Department of Head and Neck Surgery, Civil Hospital Quetta and Chaudhary Rehmat Ali Memorial Trust Hospital, Lahore from 1st January 2015 to 30th June 2015. Materials and Methods: Sixty seven patients suffering from chronic rhinosinusitis with polyps were included in this study. They were assessed clinically, computed tomography and histopathologic and mycologic monitoring. Depending on the presence or absence of allergic mucin and mycelial elements in the sinus, the patients were studied for different parameters.
Results: The mean age of 36.4 years with ranged from 14 to 51 and male to female ratio was 1.6:1. Out of these presumed 67 AFRS patients, 8 had positive fungal cultures. Remaining 59 atients with EM either had negative fungal cultures and these patients were thought to have insufficient evidence for a athologic diagnosis of AFRS. Conclusion: For the diagnosis of AFRS, the detection of fungal elements and allergic mucin should be considered.
Key Words: Allergic fungal, Chronic rhinosinusitis, Pathologic review
Citation of article: Kakar AL, Mahmood K, Iqbal M. Allergic Fungal Rhinosinusitis: Microbiologic and Pathologic Review. Med Forum 2016;27(2):17-20.