Allergic fungal rhinosinusitis: one case and literature review.
- Author:
Geng ZHANG
1
;
Changbao NI
;
Yi XU
;
Huifang ZHOU
Author Information
1. Department of Otorhinolaryngology, the General Hospital of Tianjin Medical University, Tianjin, 300052, China.
- Publication Type:Case Reports
- MeSH:
Fungi;
isolation & purification;
pathogenicity;
Humans;
Male;
Mycoses;
diagnosis;
therapy;
Rhinitis, Allergic, Perennial;
diagnosis;
microbiology;
therapy;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(11):496-501
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the presentation and the management of allergic fungal rhinosinusitis (AFRS).
METHOD:One case of AFRS was reported and the relevant literatures were reviewed. CT scan showed high-attenuation like "cloud and mist", Charcot-Leyden crystals and fungal hyphae were found in nasal smear.
RESULT:The patient removed after a combined therapy of endoscopic sinus surgery, steroids and local antifungal drugs.
CONCLUSION:The diagnosis of AFRS depends on history, the characteristics of CT scanning, pathology, mycologic and immunologic test. The management of surgery, systemic immunotherapy, local antifungal drugs and longer follow up is very important.
