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VOLUME 6 , ISSUE 1 ( January-April, 2013 ) > List of Articles


Fungal Rhinosinusitis in Delhi-National Capital Region

Shilpi Agarwal, Sunil Garg, Prafulla Songara, BL Sherwal, Partha Rakshit

Keywords : Aspergillus,FRS,Prevalence,Rhizopus

Citation Information : Agarwal S, Garg S, Songara P, Sherwal B, Rakshit P. Fungal Rhinosinusitis in Delhi-National Capital Region. Clin Rhinol An Int J 2013; 6 (1):28-31.

DOI: 10.5005/jp-journals-10013-1144

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Background and objective

During past decades, fungal rhinosinusitis (FRS) has been diagnosed more frequently. Knowing the fungal flora and its prevalence in chronic rhinosinusitis (CRS) patients will allow a better understanding of this disease, diagnosis and treatment. We studied the prevalence of fungus in CRS patients in Delhi-NCR (National Capital Region) in a tertiary care hospital.

Materials and methods

In this prospective study, a total of 180 patients having CRS were enrolled in which functional endoscopic sinus surgery was done. In 173 (96.1%) patients, polyps/tissue/mass were collected during surgery. In seven (3.9%) cases, sinus secretions were obtained. All the collected samples were sent for microbiology and pathology examination. Diagnosis of FRS was confirmed by direct mycological (10% KOH) and/or culture and/or pathology analysis.


Forty-eight cases were positive for fungus, out of these 180 patients of CRS. In patients of FRS, the most common presentation was nasal blockage followed by facial pain and facial fullness. The prevalence of FRS was found to be 26.6% in CRS and most common fungal pathogen isolated was Aspergillus flavus.


Delhi-NCR region falls under a moderate prevalence area for fungal infection in CRS patients as compared to other regions in India. Majority of cases were isolated in summer months, the dry and hot climate of the Delhi- NCR may be responsible for such prevalence.

How to cite this article

Garg S, Songara P, Sherwal BL, Agarwal S, Rakshit P, Kumar S. Fungal Rhinosinusitis in Delhi- National Capital Region. Clin Rhinol An Int J 2013;6(1): 28-31.

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  1. Office of the census control and registrar general of India. Available from:
  2. Overview of opportunistic fungal infection in India. Jpn J Med Mycol 2008;49:172-95.
  3. Overview of fungal rhinosinusitis. Indian J Otolaryngol Head Neck Surg 2004;56(4):251-58.
  4. Treatment of sinonasal polyposis by Candida albicans immunotherapy: Apropos of 4 cases. Allerg Immunol (Paris) 2001;33(10):388-94.
  5. Laboratory diagnosis of invasive aspergillosis. Lancet Infect Dis 2005;5:609-22.
  6. Fungal rhinosinusitis in patients with chronic sinusal disease. Rev Bras Otorhinolaryngol 2005;71(6):712-20.
  7. Invasive fungal infection— laboratory diagnosis and antifungal treatment. J Microbiol Immunol Infect 2006 39:178-88.
  8. Paranasal sinus mycosis in suspected fungal sinusitis. Iran J Clin Infect Dis 2006;1(1):25-29.
  9. Fungal maxillary sinusitis: A perspective study in a tertiary care hospital of Eastern Nepal. Kathmandu Med J 2007;5(2):195-98.
  10. Adult Rhinosinusitis defined. Otolaryngol Head Neck Surg 1997;117:51-57.
  11. The role of fungus in chronic rhinosinusitis. Curr Opin Otolaryngol Head Neck Surg 2002;10:207-12.
  12. Overview of basic medical mycology. Otolaryngol Clin North Am 2000;33:237-49.
  13. Frequency and identification of fungal strains in patients with chronic rhinosinusitis. Iran J Pathol 2008;3(3):135-39.
  14. Microbiological evaluation for fungal involvement of the paranasal sinuses in Turkey. J Chinese Clin Med 2008;3(10):549-53.
  15. Chronic invasive aspergillosis of the paranasal sinuses in immunocompetent hosts from Saudi Arabia. Am J Trop Med Hyg 2001;65(1):83-86.
  16. Prevalence of allergic fungal sinusitis in refractory chronic rhinosinusitis in adult Malaysians. Otolaryngology Head Neck Surg 2005;133(1):27-31.
  17. India Meteorological Department. Available from:
  18. Paranasal sinus mycoses in North India. Mycoses 1998;41:281-86.
  19. Epidemiology and pathogenesis of paranasal sinus mycoses. Otolaryngology. Head Neck Surg 1992;107:745-50.
  20. Chronic fungal sinusitis in Tamil Nadu, India. J Med Mycol 2008;18(4):216-23.
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