AUTHOR=Alotaibi Naif H. , Omar Omar Abu , Altahan Mays , Alsheikh Haifa , Al Mana Fawziah , Mahasin Zeyad , Othman Eyas 

TITLE=Chronic Invasive Fungal Rhinosinusitis in Immunocompetent Patients: A Retrospective Chart Review

JOURNAL=Frontiers in Surgery

VOLUME=7

YEAR=2020

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2020.608342

DOI=10.3389/fsurg.2020.608342

ISSN=2296-875X

ABSTRACT=<p><bold>Objective:</bold> We report cases of Chronic Invasive Fungal Sinusitis (CIFS) in patients considered as immunocompetent at tertiary care center (King Faisal Specialist Hospital), to analyze their clinical, biological, radiological features, and management.</p><p><bold>Material and methods:</bold> A retrospective chart review of CIFS in immunocompetent patients. The inclusion criteria as the following: immunocompetent patients of any age with histopathological findings of CIFS. Immunocompromised patients, acute Invasive Fungal Sinusitis (IFS), non-invasive fungal rhinosinusitis, and no positive histological findings were excluded.</p><p><bold>Results:</bold> Seventeen (17) patients were included. The species isolated included: Aspergillus (most frequent) &amp; Mucor. Surgical treatment approaches were described. Complications reported include CSF leak, blindness, recurrence, and death.</p><p><bold>Conclusions:</bold> Early diagnosis and management of CIFS improve clinical outcomes.</p>