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An algorithmic approach to aspergillus sinusitis

Published online by Cambridge University Press:  29 June 2007

J. P. de Carpentier ,
L. Ramamurthy ,
D. W. Denning  and
P. H. Taylor
D. W. Denning
Affiliation:
Senior Lecturer, University of Manchester, Hope Hospital and Monsall Hospital (Co-ordinating centre for the European Invasive Aspergillus Group).
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Abstract

The effective management of paranasal sinus aspergillosis requires early diagnosis, histological classification, surgery and where appropriate, chemotherapy. Fungal sinusitis may be easily missed unless a high index of suspicion is maintained and specific culture and histology requested. The disease is classified into invasive and noninvasive types, each being divided into two subgroups: invasive aspergillosis may be either fulminant or indolent and noninvasive disease localized or allergic. The literature is reviewed and an algorithmic approach to aspergillus sinusitis proposed. The importance of histologically differentiating invasive from noninvasive aspergillosis prior to selecting the appropriate treatment options is stressed. CT scan should precede definitive surgery, and be used in follow-up. Close and prolonged follow-up is essential.

Keywords

AspergillusSinusitisAlgorithms
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 4 , April 1994 , pp. 314 - 318
Copyright
Copyright © JLO (1984) Limited 1994

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References

Bardana, E. (1980) Clinical spectrum of aspergillosis. Classification of saphrophytic, allergic and invasive variants of human disease. CRC, Critical Review in Clinical Laboratory Sciences, 13: 85–159.CrossRefGoogle Scholar
Baxter, H. (1992) Fighting mushrooming fungal ills. Hospital Doctor 9th04: 47–48.Google Scholar
Beck-Managetta, J., Nececk, D. (1983) Solitary aspergillosis of maxillary sinus, a omplication of dental treatment. Lancet 26: 1260.CrossRefGoogle Scholar
Beck-Managetta, J., Nececk, D. (1986) Radiological findings in aspergillosis of the maxillary sinus. Oral Surgery, Oral Medicine, and Oral Pathology 62: 345–349.CrossRefGoogle Scholar
Berlinger, N. T. (1985) Sinusitis in immunodeficient and immunosuppressed patients. Laryngoscope 95: 29–33.CrossRefGoogle ScholarPubMed
Bodey, G. P., Vartivarian, S. (1989) Aspergillosis. European Journal of Clinical Microbiology and Infectious Disease 8: 413–437.CrossRefGoogle ScholarPubMed
Burch, P. A., Karp, J. E., Merz, W. G., Kuhlman, J. E., Fishman, E. K. (1987) Favourable outcome of invasive aspergillosis in patients with acute leukaemia. Journal of Clinical Oncology 5: 1985–1993.CrossRefGoogle Scholar
Denning, D. W., Stevens, D. A. (1990) Anti-fungal and surgical treatment of invasive aspergillosis: review of 2121 published cases. Review of Infectious Disease 12: 1147–1201.CrossRefGoogle Scholar
Denning, D. W. (1992) Aspergillose invasive au course du sida. Revue geneuae. Journal de Mycolode Medicate 2(supp. I): 35–41.Google Scholar
Goering, P., Berlinger, N. T., Weisdors, D. J. (1988) Aggressive combined modality treatment of progressive sinonasal fungal infections in immuno-compromised patients. American Journal of Medicine 85: 619–623.CrossRefGoogle Scholar
Hora, J. F. (1965) Primary aspergillosis of the paranasal sinuses and associated area. Laryngoscope 75: 768–773.CrossRefGoogle Scholar
Jackson, I. T., Schmitt, E., Carpenter, H. A. (1987) Allergic aspergillus sinusitis. Plastic and Reconstructive Surgery 79: 804–808.CrossRefGoogle ScholarPubMed
Jahrsdoerfer, R. A., Egercito, V., Johns, M. M. E., Cantrell, R. W., Snyder, B. J. (1979) Aspergillosis of the nose and paranasal sinuses. American Journal of Otolaryngology 1: 6–14.CrossRefGoogle ScholarPubMed
Jonathan, D., Lund, V, Milroy, C. (1989) Allergic aspergillus sinusitis – an overlooked diagnosis. Journal of Laryngology and Otology 103: 1081–1183.CrossRefGoogle ScholarPubMed
Katzenstein, A. A., Sale, S. R., Greenberger, P. A. (1983) Allergic aspergillus sinusitis: a newly recognised form of sinusitis. Journal of Allergy and Clinical Immunology 72: 89–93.Google ScholarPubMed
Manning, S. C, Weinberg, A. G. (1989) Allergic aspergillosis: a newly recognised form of sinusitis in the paediatric population. Laryngoscope 99: 681–685.CrossRefGoogle Scholar
Manning, S. C, Schaefer, S. D., Close, L. G., Vuitch, F. (1991) Culture positive allergic fungal sinusitis. Archives of Otolaryngology, Head and Neck Surgery 117: 174–178.CrossRefGoogle ScholarPubMed
McGill, T. J., Simpson, G, Healy, G. B. (1980) Fulminant aspergillosis aspergillosis of the nose and paranasal sinuses: a new clinical entity. Laryngoscope 90: 748–754.CrossRefGoogle ScholarPubMed
McGuirt, W. E, Harrill, J. A. (1979) Paranasal sinus aspergilloma. Laryngoscope 89: 1563–1568.CrossRefGoogle Scholar
Messerklinger, W. (1978) Endoscopy of the nose. Urban & Schwarzenberg, Munich, pp 52–54.Google Scholar
Meunier-Carpentier, F, Snoech, R., Gerrain, J.Muller, C, Klastersky, J. (1984) Amphotericin B nasal spray as prophylactic against aspergillus in patients with neutropenia. New England Journal of Medicine 311: 1056(Letter).Google Scholar
Milosev, B., Mahgoub, El-s., Aal, A, Hassan, A. L. (1969) Primary aspergilloma of the paranasal sinuses in the Sudan. British Journal of Surgery 56: 132–137.CrossRefGoogle ScholarPubMed
Milroy, C. M., Blanshard, J. D., Lucas, S., Michaels, L. (1989) Aspergillosis of the nose and paranasal sinus. Journal of Clinical Pathology 42: 123–127.CrossRefGoogle Scholar
Rhem, S., Waalkes, M. P., Ward, J. M. (1988) Aspergillus rhinitis in Wistar rats. Laboratory and Animal Sciences 38: 162–166.Google Scholar
Rifkind, B. M., Gale, M., McNicol, G. P., Douglas, A. S. (1966) Aspergillosis of the paranasal sinuses and orbit in the Northern Sudanese. Lancet 2: 746–747.Google Scholar
Rinaldi, M. G. (1983) Invasive aspergillosis. Reviews of Infectious Disease 5: 1061–1077.CrossRefGoogle ScholarPubMed
Robb, P. J. (1986) Aspergillosis of the paranasal sinus (a case report and histological perspective). Journal of Laryngology and Otology 100: 1071–1077.CrossRefGoogle Scholar
Saferstein, B. A., D'Souza, M. E, Simon, G., Tai, E., Pepys, J. (1973). Five-year follow-up allergic broncho-pulmonary aspergillosis. American Review of Respiratory Diseases 108 450–459.Google Scholar
Sarti, E. J., Blaugrund, S. M., Lin, P. T., Camins, M. B. (1988) Paranasal sinus disease with intracranial extension: aspergillosis versus malignancy. Laryngoscope 98: 632–635.CrossRefGoogle ScholarPubMed
Stammberger, H., Jakse, R., Beaufort, F. (1984) Aspergillosis of the paranasal sinuses: X-ray diagnosis, histopathology and clinical aspects. Annals of Otology, Rhinology and Laryngology 93: 251–256.CrossRefGoogle ScholarPubMed
Stevens, M. H. (1981) Primary fungal infections of the paranasal sinuses. American Journal of Otolaryngology 2: 348–357.CrossRefGoogle ScholarPubMed
Talbot, G. H., Huang, A., Provendar, M. (1991) Invasive aspergillus rhinosinusitis in patients with acute leukaemia. Reviews of Infectious Diseases 13: 219–232.CrossRefGoogle Scholar
Titche, L. L. (1978) Aspergillosis of the maxillary sinus. Ear, Nose and Throat Journal 57: 62–66.Google ScholarPubMed
Veress, B., Malik, O. A., El-Tayeb, A. A., El-Daoud, S., El-Mahgoob, S., El-Hussan, M. M. (1973) Further observation on the primary paranasal aspergillus granuloma in the Sudan. American Journal of Tropical Medicine and Hygiene 22: 765–772.CrossRefGoogle ScholarPubMed
Viollier, A. F., Peterson, D. E., De Jongh, C. A., Newman, K. A., Gray, W. C, Sutherland, J. C, Moody, M. A.Schimpff, S. C. (1986) Aspergillus sinusitis in cancer patients. Cancer 58: 366–371.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Washburn, R. G., Kennedy, D. W., Begley, M. G., Henderson, D. K., Bennett, J. E. (1988) Chronic fungal sinusitis in apparently normal hosts. Medicine 67: 231–247.CrossRefGoogle ScholarPubMed
Waxman, J. E., Spector, J. G., Sale, S. R., Katzenstein, A. A. (1987) Allergic aspergillus sinusitis: concepts in diagnosis and treatment of a new clinical entity. Laryngoscope 97: 261–266.CrossRefGoogle ScholarPubMed
Yu, V. L., Wagner, G. E., Smith, S. (1980) Sino-orbital aspergillosis treatment with combination anti-fungal therapy. Journal of American Medical Association 244: 814–815.CrossRefGoogle Scholar
Zieske, L. A., Kopke, R. D., Hammill, R. (1991) Dematiaceous fungal sinusitis. Otolaryngology – Head and Neck Surgery 105: 567–577.CrossRefGoogle ScholarPubMed
Zinreich, S. J., Kennedy, D. W., Mallet, J., Cutin, H. D., Epstein, J. I., Huff, L. C, Kumar, A. J., Johns, M. E., Rosenbaum, A. E. (1988) Fungal sinusitis: diagnosis with CT and MR imaging. Radiology 169: 439–444.CrossRefGoogle ScholarPubMed