FUNGAL SINUSITIS
Fungal sinusitis refers to the inflammation of the sinuses caused by a fungal infection. It is less common than bacterial or viral sinusitis but can be more challenging to treat. The condition is primarily seen in individuals with weakened immune systems or uncontrolled diabetes, but can also affect healthy individuals, especially when exposed to certain environmental conditions.
TYPES OF FUNGAL SINUSITIS
ACUTE INVASIVE FUNGAL SINUSITIS
This is a rapidly progressing and severe form of the disease, often observed in individuals with weakened immune systems. It can be life-threatening if not treated promptly.
CHRONIC INVASIVE FUNGAL SINUSITIS
Chronic invasive fungal sinusitis is a slow-progressing form of fungal infection that gradually damages the sinuses and facial structures, typically seen in individuals with slightly compromised immune systems. While less aggressive than its acute counterpart, it requires long-term treatment and monitoring to prevent serious complications.
FUNGUS BALL (MYCETOMA)
This type involves the presence of a fungal ball within a sinus cavity, usually the maxillary sinus. It doesn’t invade the sinus tissue but causes symptoms due to its mass effect.
ALLERGIC FUNGAL SINUSITIS (AFS)
This is an allergic reaction to environmental fungi that colonise the sinuses. It typically affects individuals with a history of allergies or asthma. The sinuses may be filled with thick fungal debris and mucus.
CAUSES
Fungal spores are abundant in the environment, but only a few types can cause sinus infections. Individuals with compromised immune systems or those who have had prolonged antibiotic, chemotherapy, or immunosuppressive therapy are more susceptible.
SYMPTOMS
Symptoms can vary depending on the type of fungal sinusitis, but they generally include:
- Nasal congestion
- Nasal discharge
- Facial pain or pressure
- Decreased sense of smell
- Fever (particularly in invasive types)
- Eye symptoms such as bulging, pain, double vision, loss of vision (especially if the infection spreads)
- Headache
- Chronic cough
TREATMENT
SURGICAL DEBRIDEMENT
Especially important for invasive fungal sinusitis, where the infected tissue must be removed.
ANTIFUNGAL MEDICATIONS
Administered to manage and eradicate the fungal infection.
CORTICOSTEROIDS
May be used, especially in cases of allergic fungal sinusitis, to reduce inflammation.
IMMUNOTHERAPY
For those with allergic fungal sinusitis, allergy shots might help prevent the condition from returning.
SINUS IRRIGATION
Using saline solutions can help keep the sinuses clear.
TAKE CONTROL OF FUNGAL SINUSITIS WITH EXPERT CARE
Fungal sinusitis can be a complex condition, with treatment and outcomes varying significantly depending on the precise diagnosis. It’s imperative to have a specialist who can accurately identify and treat your specific type of fungal sinusitis. Dr Sandeep Uppal and his skilled team are at the forefront of ENT healthcare, offering comprehensive services to tackle this condition head-on.
Don’t let fungal sinusitis diminish your quality of life. Reach out to Dr Sandeep and his team for top-tier advice, thorough diagnosis, and a range of treatment options tailored to your needs. Take the first step towards relief and recovery—contact us today for a consultation.
