Joshi R R, Bhandary S, Khanal B, Singh R K
Department of Otolaryngology Head and Neck Surgery , B P Koirala Institute of Health Sciences, Dharan, Nepal.
Kathmandu Univ Med J (KUMJ). 2007 Apr-Jun;5(2):195-8.
The incidence of mycotic infections and the diversity of pathogenic fungi have increased dramatically in recent years. Fungal sinusitis should be considered in all the patients with chronic maxillary sinusitis (CMS), especially in association with certain clinical features that serve as clue to the diagnosis. Aspergillus is the most common fungal pathogen in maxillary sinus.
A total of 100 patients those who fulfilled the diagnostic criteria (Lanza and Kennedy, 1992) for chronic rhinosinusitis were eligible for this open level and randomized prospective study. Only those above 14 years of age were included.
Fungal maxillary sinusitis was seen in 14% of all cases of chronic maxillary sinusitis in eastern part of Nepal. We identified Acremonium and Candida species as commonest fungi involved in fungal maxillary sinusitis (FMS). To the best of our knowledge this is the first such study conducted in eastern Nepal.
近年来，真菌感染的发生率和致病真菌的多样性急剧增加。所有慢性上颌窦炎（CMS）患者都应考虑真菌性鼻窦炎，尤其是伴有某些有助于诊断的临床特征时。曲霉是上颌窦最常见的真菌病原体。
共有100例符合慢性鼻-鼻窦炎诊断标准（Lanza和Kennedy，1992年）的患者入选本开放性随机前瞻性研究。仅纳入14岁以上患者。
在尼泊尔东部，真菌性上颌窦炎见于所有慢性上颌窦炎病例的14%。我们确定枝顶孢属和念珠菌属为真菌性上颌窦炎（FMS）中最常见的真菌。据我们所知，这是在尼泊尔东部进行的首例此类研究。
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