What is fungal sinusitis?
Fungus is present in the soil and in the air we breathe. It is also a healthy part of our sinus environment; however, fungus can occasionally cause inflammation and sinus symptoms requiring treatment. Fungal sinusitis can vary in symptoms based on the specific type or may have no symptoms at all. The major types include non-invasive and invasive (extremely rare):
Non-Invasive fungal sinusitis (more common)
- Fungus ball
- Allergic fungal sinusitis
- Non-allergic fungal sinusitis
Invasive fungal sinusitis
- Acute invasive fungal sinusitis (usually diagnosed and treated in the hospital)
- Chronic invasive fungal sinusitis
- Granulomatous invasive fungal sinusitis
How do you test for fungal sinusitis?
Evaluation may include a discussion of symptoms, an examination of the head and neck including nasal endoscopy (looking in the nose with a camera) and often a CT or MRI is needed. A culture may be taken if there is mucus or pus in the nose and sometimes a sample of the tissue (biopsy) may be needed.
What is the treatment for fungal sinusitis?
Treatments are based on the patient’s type of fungal sinusitis and other medical factors. We may also have you meet with other specialist, such as an Allergist or Infectious Disease provider. Treatments can include surgery and medications that decrease the inflammation in the nose.