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PICTORIAL ESSAY
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 23

Sinonasal Fungal Infections and Complications: A Pictorial Review


1 Department of Radiology, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA
2 Department of Radiology and Imaging, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA

Correspondence Address:
Carola Birgit Mullins
Department of Radiology, Texas Tech University Health Science Center, 4800 Alberta Avenue, El Paso, TX 79905
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.184010

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Fungal infections of the nose and paranasal sinuses can be categorized into invasive and non-invasive forms. The clinical presentation and course of the disease is primarily determined by the immune status of the host and can range from harmless or subtle presentations to life threatening complications. Invasive fungal infections are categorized into acute, chronic or chronic granulomatous entities. Immunocompromised patients with poorly controlled diabetes mellitus, HIV and patients receiving chemotherapy or chronic oral corticosteroids are mostly affected. Mycetoma and Allergic Fungal Rhinosinusitis are considered non-invasive forms. Computer tomography is the gold-standard in sinonasal imaging and is complimented by Magnetic resonance imaging (MRI) as it is superior in the evaluation of intraorbital and intracranial extensions. The knowledge and identification of the characteristic imaging patterns in invasive - and non- invasive fungal rhinosinusitis is crucial and the radiologist plays an important role in refining the diagnosis to prevent a possible fatal outcome.


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