Mycetoma Fungal Sinusitis Symptoms and Treatment

Mycetoma Fungal Sinusitis

Fungal sinusitis is becoming an increasingly trending topic due to a study by The Mayo Clinic, which indicated that this previously thought lesser known cause of a chronic sinus infection may be linked to the airborne microscopic fungal matter more often than thought in the past. Typically, an allergy to the free floating fungus is the case, where allergic fungal sinusitis occurs as a result of a negative reaction to the inhaled aggravators. But, there is another form of the non invasive condition that can bear similar symptoms as well, known as mycetoma fungal sinusitis.

The condition is caused from tiny spores and pieces of fungus that get trapped within the nasal area. Sometimes this can be because of a recent trauma or injury to the area, even if minor. In some cases, these bits and pieces combine into a fungus ball, which can create obstruction. Aside from symptoms associated with this obstruction, points out that pressure symptoms can be apparent also, with pain and a sinus headache not being uncommon. Nasal drainage can also occur as a part of fungal sinusitis symptoms.

These symptoms can worsen when the offending fungal ball itself becomes infected with bacteria, and can create quite a treatment conundrum of sorts. When the symptoms worsen as a result of the infected fungus ball infection, antibiotics are typically employed due to misdiagnosis of the underlying mycetoma fungal sinusitis. Antibiotics are useful in the treatment of bacterial sourced infections, but they are typically not effective sinus infection remedies when fungus is the underlying cause. However, when the fungus ball becomes infected with bacteria, antibiotics can prove to be helpful at reducing symptoms for a short while until their course is ended. At that point, the infection can return and make for a further worsening of symptoms. Aside from reducing bacterial growth within the fungus ball, antibiotics are not effective treatments for mycetoma fungal sinusitis. Symptoms resulting from a bacterial infection of a fungal ball or mass of spores include discharge that becomes noticeably thicker, is green or yellow in color, discomfort in the chest or throat as well as a general worsening of existing symptoms, according to

Treatment for a fungal sinus infection, regardless of type, is surgical in nature. Essentially, the fungal debris must be removed from the sinus cavity in a procedure called debridement. The American Academy of Otolaryngology explains that scraping of the area is often considered effective treatment for the removal of the offending matter. During the procedure, the fungal ball, which can be more than a few millimeters in diameter, will be removed. Additionally, any residual matter that is leftover related to the infection will be removed as well. It’s essential that the removal process be effective at completely removing all of the fungal matter contained in the cavity to prevent a recurrence of mycetoma fungal sinusitis, which is not uncommon. Following the complete removal of the offending fungi, saline irrigation rinses are employed to clean the treated area. Sometimes, this treatment can give way to other surgeries within the sinus area to make repairs from infection damage or to correct problems within the sinus cavity. Unfortunately it’s not uncommon for more than one occurrence of this sinusitis treatment to take place due to the nature of the illness to come back.

The American Academy of Otolaryngology points out that antifungal medications are not considered as effective treatment for mycetoma fungal sinusitis, although they are commonly used in other forms of the condition, particularly useful in aftercare of treatment for invasive forms of the condition. And, of course, antibiotics are not useful in management although they may provide some false symptom relief if the fungal matter in the cavities has become infected. Proper treatment of the condition relies on correct identification of the fungal source and swift action to remove the foreign invader completely. Delays in treatment can lead to a worsening of symptoms that can create exacerbated sensations of pain and pressure along the sinus area and throughout the face and head. In most cases, mycetoma fungal sinusitis is a relatively mild and easily treatable condition. However, complications can exist and a delay in treatment can increase their risk. Proper consultation with a health care provider when symptoms present is essential as well as quick and thorough removal of the fungal source.