Vivek Gupta 1 , Grace Bhudhiraja 2 , Mandeep Kaur 3 , Wassem Qadir Dar
BACKGROUND This study aims to evaluate the incidence of allergic fungal sinusitis among patients with chronic rhinosinusitis. Chronic rhinosinusitis (CRS) is a widely prevalent condition globally as well as in India. Fungal rhinosinusitis is classified into two subgroups: three invasive forms (acute necrotizing, chronic invasive, granulomatous invasive), and two noninvasive forms (fungal ball and allergic fungal). MATERIALS AND METHODS Patients attending the Department of ENT at Adesh institute of medical science & research, Bathinda (Punjab) between Jan 2016 and Dec 2016 one year duration 82 cases were included in this retrospective analysis with features suggestive of chronic rhinosinusitis. Based on clinical, endoscopic and radiological parameters, 82 cases were diagnosed to have rhinosinusitis. In these cases, postoperatively after HPE examination, 16 cases were confirmed to have mycotic infection. RESULTS Out of 16 cases, In Allergic fungal rhino sinusitis(AFRS), Aspergillus flavus (A. flavus) was the most common fungus isolated ten cases (71.42%.). In fungal ball, A. flavus was isolated in two cases (14.25%) and Aspergillus niger (A. niger) was isolated in two cases (14.25%). In invasive fungal rhinosinusitis (IFRS) mucormycosis was isolated in two cases (12.5%). CONCLUSION The incidence of ARFS is about 12.2% of chronic rhinosinusitis. The commonest age group is second & third decade.
