Evaluation of cases of fungal infections of nose and paranasal sinuses reported in Nalanda Medical College and Hospital Patna
Dr. Sudhanshu Shekhar Prasad
Fungal sinusitis is a common specific infectious disease with an increasing incidence and is being increasingly recognized to occur in all age groups. It has been reported that fungal infection of nose and paranasal sinuses (i.e., fungal rhinosinusitis) can affect about 20% of the population at any given time during their lives. Additionally, fungal infections of nose and paranasal sinuses generally have a protracted course with frequent relapses and recurrences. Logically Quality of life is likely to be affected in fungal infections of the nose and paranasal sinuses. However to the best of our knowledge, there is no published literature on QOL in fungal infection of nose and paranasal sinuses from India. Hence the present study was planned to distinguish clinicopathological features of non-invasive fungal sinusitis from invasive fungal sinusitis and accordingly manage them and prevent recurrence. Total 20 cases diagnosed with the infections were enrolled in the present study. The present study was planned in the Department of ENT, Nalanda Medical College and Hospital Patna, Bihar from Feb 2018 to Feb 2019. The Consultant from ENT department made the clinical diagnosis of nasal fungal infection, which was confirmed using microbiological tests by the Consultant Microbiologist. Thereafter, the Consultant ENT directed the patient to the principal investigator for administration of tests within the ENT department. The data generated form the present study and the reported literature suggests that combination of medical and surgical line of treatment improved the prognosis significantly. Early detection, proper and adequate dose of antifungal agents, timely surgical intervention improve the survival rate in the disease of sinonasal fungal infections.