Invasive Fungal Sinusitis Symptoms and Treatment

Invasive Fungal Sinusitis

There are two main types of fungal sinusitis, and one is much more serious than the other. Non-invasive forms of sinusitis caused by fungus are typical in healthy people that are susceptible to allergies and have a negative reaction to airborne fungus. They are often difficult to diagnose and can be long lasting conditions. One is the result of an allergy to fungus, the other (mycetoma fungal sinusitis) a result of a collection of spores or a fungus ball within the sinus cavity. The other main type of the condition, invasive fungal sinusitis, can be very serious and even life threatening.

Chronic indolent sinusitis is one form of the invasive type of the condition. The American Academy of Otolaryngology notes that it is most common for this form of invasive fungal sinusitis to occur in parts of Africa and India. It’s typically more common in people who have a suppressed immune system due to disease or illness. Symptoms of the condition are a persistent and unending sinus headache as well as facial swelling. This swelling is progressive and as it worsens, it can lead to problems with vision. Medscape explains that symptoms associated with this form of fungal sinusitis are often chronic and long standing and that there is often no sign of fever or loss of mental acuity. There is not normally any evidence of infection in the nasal area, although changes within the eye region can provide many clues about the condition. The course of treatment for this type of invasive fungal sinusitis is always surgery, with antibiotics, antifungals and most at home sinus infection remedies being rather ineffective against the source of the condition and its symptoms (although antifungals are often employed in conjunction with surgical removal techniques).

The most severe form of invasive sinusitis caused from fungus is fulminant sinusitis, which is also referred to as granulomatous invasive fungal sinusitis. It’s associated with a high rate of mortality, particularly in cases where diagnosis is not swift. Science Direct explains that the condition is most commonly identified in Pakistan, India, Sudan and the United States, although it’s possible that as imaging and diagnostic tools improve that its true incidence will be revealed. Symptoms of the condition include both a history of chronic sinusitis and proptosis, which means bulging of the eyes from their sockets. It’s an acute yet progressive condition that results in the destruction of the sinuses and the bone that encloses the brain and eyes as well as it worsens and becomes more intense, as indicated by The American Academy of Otolaryngology. Sinusitis treatment for this condition always involves the use of surgical means, aggressively and immediately which is then followed by the use of intravenous anti fungal medications which are useful in conjunction with the surgical removal of the fungal debris that is causing the condition.

Science Direct notes that in some countries like Korea, late diagnosis due to an utter lack of information about the condition is generally responsible for the delay in treatment which can contribute to the poor outcomes associated with invasive fungal sinusitis. Because it’s not uncommon for early symptoms like a headache to be brushed off as those commonly found in a sinus infection caused from bacterial or viral sources, mismanagement of the condition in early stages is also not uncommon. The key to reducing the potential for mortality among sufferers of invasive fungal sinusitis is early detection, employing the used of diagnostic imaging tools that can identify the source of the infection.