Frequency and Identification of Fungal Strains in Patients with Chronic Rhinosinusitis
Publish place: IRANIAN JOURNAL of PATHOLOGY، Vol: 3، Issue: 3
Publish Year: 1387
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_IJP-3-3_004
تاریخ نمایه سازی: 5 آبان 1393
Abstract:
Background and Objective: Chronic rhinosinusitis (CRS) is one of the most common chronic diseases. In the past decades, there has been an increase in fungal infections of sinuses and fungalrhinosinusitis (FRS) has been diagnosed more frequently. Knowing the fungal flora and its prevalence in CRS patients will allow a better understanding of this disease, permitting a correct diagnosis, treatment and formulating its prognosis. This study was performed to assess the fungalflora and its prevalence in CRS patients. Materials and Methods: In this prospective study fungal cultures were obtained from nasal and paranasal sinuses mucus of 100 patients suffering from CRS and 40 controls who did notshow any evidence of CRS .In addition, in CRS patients, paranasal sinuses mucus and tissue werehistologically investigated for evidence of eosinophilic granulocytes and fungal elements besidesfungal culture. Results: Fungal cultures of nasal mucus were positive in 62.5% and 60% of cases and controls respectively. Positive fungal cultures of paranasal sinuses mucus were seen in 49% of cases and 5% of controls. Aspergillus was the most frequent, followed by Penicilium and Cladosporium in both nasal and paranasal sinuses mucus culture. Eosinophilic mucin was found in 90% of CRSpatients. Conclusion: Our data showed that fungal infection is frequent in patients with chronic rhinosinusitis. Based on our results, Aspergillus was the most frequent isolated fungus in CRS patients.
Authors
Ali Eslamifar
Dept. of Clinical Research, Pasteur Institute of Iran, Tehran, Iran
Mehdi Razzaghi-Abyaneh
Dept. of Mycology, Pasteur Institute of Iran, Tehran, Iran.
Mohsen Vazir-Nezami
Dept. of ENT, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Habibollah Moghadasi
Dept. of ENT, Loghman Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.