Fungal Rhino Sinusitisin in Tehran, Iran
Background: Fungal rhino sinusitis (FRS) is an important infection of para nasal sinuses, which encompasses two main categories; invasive and noninvasive forms according to histopathological findings. Aspergillus spp are the most common species isolated from noninvasive form, while Mucorales are mo...
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Tehran University of Medical Sciences
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doaj-fff1322c8bb440b690a049b60993690f2020-12-02T18:34:19ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932015-03-014433505Fungal Rhino Sinusitisin in Tehran, IranMehdi Nazeri0Seyed Jamal Hashemi1Mohammad Ardehali2Sasan Rezaei3SeyedMojtaba Seyedmousavi4Mahdi Zareei5Emaddodin Hosseinjani6Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Amir-alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Dept. of Medical Microbiology, Radboudumc, Nijmegen, The Netherlands.Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Background: Fungal rhino sinusitis (FRS) is an important infection of para nasal sinuses, which encompasses two main categories; invasive and noninvasive forms according to histopathological findings. Aspergillus spp are the most common species isolated from noninvasive form, while Mucorales are more frequently isolates from acute infections. Methods: Four hundred fifty patients suspected to fungal rhino sinusitis were investigated in a cross-sectional prospective study from June 2009 to Sep 2013. All patients under went endoscopic sinus surgery of the middle meatus. Tissue biopsies were investigated for culture, histopathology and molecular examination. Results: Totally, 87 patients were diagnosed with fungal rhinosinusitis. A. flavus was the most common etiological agent of chronic invasive form (CIFRS), allergic fungal rhino sinusitis (AFRS) and fungus ball (FB), while Rhizopus oryze (26.7%) was the most common cause of infection in acute invasive fungal rhino sinusitis (AIFR). However, a few rare species such as Shyzophyllum commune and Fusarium proliferatum were also isolated. Conclusion: Diabetes is the most important predisposing factor for patients with acute invasive form of sinusitis and the most involved sinuses were unilateral multiple sinuses and maxillary sinus. https://ijph.tums.ac.ir/index.php/ijph/article/view/3640AFRSAIFRFungal rhinosinusitisFungus ball |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mehdi Nazeri Seyed Jamal Hashemi Mohammad Ardehali Sasan Rezaei SeyedMojtaba Seyedmousavi Mahdi Zareei Emaddodin Hosseinjani |
spellingShingle |
Mehdi Nazeri Seyed Jamal Hashemi Mohammad Ardehali Sasan Rezaei SeyedMojtaba Seyedmousavi Mahdi Zareei Emaddodin Hosseinjani Fungal Rhino Sinusitisin in Tehran, Iran Iranian Journal of Public Health AFRS AIFR Fungal rhinosinusitis Fungus ball |
author_facet |
Mehdi Nazeri Seyed Jamal Hashemi Mohammad Ardehali Sasan Rezaei SeyedMojtaba Seyedmousavi Mahdi Zareei Emaddodin Hosseinjani |
author_sort |
Mehdi Nazeri |
title |
Fungal Rhino Sinusitisin in Tehran, Iran |
title_short |
Fungal Rhino Sinusitisin in Tehran, Iran |
title_full |
Fungal Rhino Sinusitisin in Tehran, Iran |
title_fullStr |
Fungal Rhino Sinusitisin in Tehran, Iran |
title_full_unstemmed |
Fungal Rhino Sinusitisin in Tehran, Iran |
title_sort |
fungal rhino sinusitisin in tehran, iran |
publisher |
Tehran University of Medical Sciences |
series |
Iranian Journal of Public Health |
issn |
2251-6085 2251-6093 |
publishDate |
2015-03-01 |
description |
Background: Fungal rhino sinusitis (FRS) is an important infection of para nasal sinuses, which encompasses two main categories; invasive and noninvasive forms according to histopathological findings. Aspergillus spp are the most common species isolated from noninvasive form, while Mucorales are more frequently isolates from acute infections.
Methods: Four hundred fifty patients suspected to fungal rhino sinusitis were investigated in a cross-sectional
prospective study from June 2009 to Sep 2013. All patients under went endoscopic sinus surgery of the middle
meatus. Tissue biopsies were investigated for culture, histopathology and molecular examination.
Results: Totally, 87 patients were diagnosed with fungal rhinosinusitis. A. flavus was the most common etiological agent of chronic invasive form (CIFRS), allergic fungal rhino sinusitis (AFRS) and fungus ball (FB), while Rhizopus oryze (26.7%) was the most common cause of infection in acute invasive fungal rhino sinusitis (AIFR). However, a few rare species such as Shyzophyllum commune and Fusarium proliferatum were also isolated.
Conclusion: Diabetes is the most important predisposing factor for patients with acute invasive form of sinusitis and the most involved sinuses were unilateral multiple sinuses and maxillary sinus.
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topic |
AFRS AIFR Fungal rhinosinusitis Fungus ball |
url |
https://ijph.tums.ac.ir/index.php/ijph/article/view/3640 |
work_keys_str_mv |
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