MYCOLOGICAL STUDY OF THE NOSE & PARANASAL SINUSES IN 100 CASES

Deepika Handa, S. Jyotsna

Abstract


Fungal infections of nose & paranasal sinuses are caused by opportunistic fungi. Fungi constitute a large diverse group of hetrophilic organisms, most of which are found as saprophytes in the soil and on decaying plant material. Some yeast are commensals of man and cause endogenous infections when there is some imbalance in the host.  The present study was conducted on 100 clinically suspected cases of chronic sinusitis which were taken from the Department of Microbiology, Ayaan Institute of Medical Sciences during the period of  one year. Samples consisted of two swabs of nasal discharge/antral lavage. One of the sample was inoculated on SDA medium while from other swab direct microscopic examination both wet preparation using 10% KOH & grams staining was done. 33 (33%) cases were culture positive, 20 (20%) cases were KOH positive while 8 cases were Gram’s staining  positive. Out of 33 culture positive cases the common isolates were A. flavus 20 (60%) cases followed by C.albicans 8 (24%) cases & A.fumigatus 2 (6.25%) cases. Mucor, Rhizopus & Penicillium was isolated from one case each (3.25%). Conclusion:  Treatment modalities consist of early   diagnosis, surgical debridement followed by antifungal drugs.

           


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