NGHIÊN CỨU MỘT SỐ ĐẶC ĐIỂM VIÊM MŨI XOANG DO NẤM Ở NGƯỜI LỚN TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objective: To describe some clinical, subclinical features of chronic fungal rhinosinusitis in adult patients. Materials and methods: A prospective, case-by-case study was conducted on 41 patients diagnosed with chronic fungal rhinosinusitis at Military Hospital 103 from October 2022 to April 2023. Results: The average age was 60.34 ± 13.78 years; genders were similar. The most prevalent functional symptoms were nasal congestion (82.9%) and nasal discharge (80.5%); pus oozing from the middle meatus accounted for 82.9%. Computed tomography (CT) scans revealed maxillary sinus opacification predominantly on one side (78%); increased density (calcification) was observed between the homogeneous opacities in the sinus in 95.1% of cases. The positivity rate on direct microscopy was 22%, and on fungal cultures, it was 27%. Aspergillus species were identified in all cases. Pathological findings indicated fungal hyphae in 95.1% of cases, with no evidence of fungal invasion into the tissues. Conclusion: Chronic fungal rhinosinusitis exhibits common symptoms observed in chronic rhinosinusitis patients. Endoscopy revealed pus primarily emanating from the middle meatus, and CT scans commonly showed increased density images. The most common type of fungus was Aspergillus, and histopathology showed no invasion of the sinus mucosa.