Monday, May 29, 2017

Allergic fungal sinusitis

How to kill nasal fungus? What causes nasal fungus? The infecting fungi are found in the environment and cause an allergic reaction which in thick fungal debris, sticky mucus and blockage of the infected sinus.


Patients with AFS may have allergies , nasal polyps and may have asthma. AFRS is often misdiagnosed.

Recognition and understanding of this unique disease will lead to efficient diagnosis and treatment of this curable process. On imaging, it usually presents as opacification and expansion of multiple paranasal sinuses , unilaterally or bilaterally, with content that is centrally hyperdense on CT. The most common cause of allergic fungal sinusitis is an allergy to airborne fungus. When this is combined with other risk factors, it can create the perfect storm of inventing a perfect living, eating and thriving environment for microscopic fungus that find the dark and moist living conditions of the sinuses all too inviting. Symptoms include nasal airway obstruction (difficulty breathing through the nose), allergic nasal congestion (blockage as a result of being exposed to something that the person is allergic to), purulent rhinorrhoea (thick green ‘snot’), postnasal drainage (mucus dripping down the back of the throat from the back of the nose) and headaches.


Allergic Fungal Rhinosinusitis. These secretions contain proteins from degranulated eosinophils (a type of inflammatory cell) plus some fungal elements. Patients may only notice allergic-like symptoms of nasal congestion, runny nose, and sneezing.

On the basis of a postulated schema of the pathophysiology of allergic fungal sinusitis (AFS), a variety of treatment plans addressing its multiple contributing factors has emerged. Medical control of the disease has made use of various combinations of antifungal medications, corticosteroids, and immunotherapy,. A wide variety of fungal agents has been implicate with the vast majority belonging to the Dematiaceae family.


Regional variation in incidence has been reporte with the southern and southwestern US particularly endemic. Currently it is felt that AFS requires both surgical and medical management. The medical management may include topical and systemic steroids,. It is more common in the Southern U. Chronic indolent sinusitis is an invasive form of sinusitis that is most commonly found in northern India and the Sudan.


People with this fungal infection characteristically develop polyps, or growths of tissue, within the nasal passageways, reports The Merck Manuals Online Medical Library 2. Fungal sinusitis is the inflammation of the lining mucosa of the paranasal sinuses due to fungal infection. It occurs in people with reduced immunity. The maxillary sinus is the most commonly involved.


Fungi responsible for fungal sinusitis are Aspergillus fumigatus, Aspergillus flavus, and Aspergillus niger. Diabetes mellitus is the most common risk factor involved. Runny Nose Is Never Any Fun.


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An allergic diathesis is not uncommon in patients with chronic sinusitis , and nasal eosinophilia suggests an allergic component may be prominent in some patients with CRS. However, the presence of a positive skin test result to species of fungus does not indicate that colonization with a different fungal species is pathological. Imagine scrubbing all the mildew out of your bathroom, while walking around with it growing in your sinus! The chronic exposure creates nasal polyps, asthma, and a very thick mucous,. In people allergic to mol breathing in spores can trigger an asthma flare-up.


If you have a mold allergy and asthma, be sure you have an emergency plan in place in case of a severe asthma attack. This from an inflammatory reaction to fungus in the sinuses. This is in contrast to invasive fungal infections that affect immunocompromised hosts,. This form is characterized by a chronic non-invasive sinus infection lasting over weeks.


Patients suffering from this condition often notice a thick, yellowish-brown mucus draining from the sinuses, and complain of severe nasal congestion, difficulty smelling, sinus pressure, and headaches.

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