Chronic invasive fungal sinusitis

Changed by Yuranga Weerakkody , 29 May 2015

Updates to Synonym Attributes

Updates to Synonym Attributes

Updates to Synonym Attributes

Updates to Article Attributes

Body was changed:

Chronic invasive fungal sinusitis (CIFS) is a form of invasive fungal sinusitis

Clinical presentation

The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.

Radiographic features

CT

CT usually shows homogenous opacification of sinus affected compartments  (iso to hyper-attenuating to muscle tissue).

Other suggestive features include

  • relative lack of expansion of sinuses 2
  • mottled lucencies or irregular bone destruction may be seen
  • bone erosion being localised to the area of extra-sinus extension 2
  • extra-sinus component of the disease being more than the intra-sinus component 2
  • there may also be sclerotic changes in the bony walls of the affected sinuses representing chronicity of disease 3
MRI

Signal characterics of affected region include.

  • T1: iso or hypointense signal
  • T2: usually markedly hypointense signal

See also

  • -<p><strong>Chronic invasive fungal sinusitis (CIFS) </strong>is a form of invasive <a title="Fungal sinusitis" href="/articles/fungal-sinusitis">fungal sinusitis</a>. </p><h4>Clinical presentation</h4><p>The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.</p><h4>Radiographic features</h4><h5>CT</h5><p>CT usually shows homogenous opacification of sinus affected compartments  (iso to hyper-attenuating to muscle tissue).</p><p>Other suggestive features include</p><ul>
  • +<p><strong>Chronic invasive fungal sinusitis (CIFS) </strong>is a form of invasive <a href="/articles/fungal-sinusitis">fungal sinusitis</a>. </p><h4>Clinical presentation</h4><p>The condition has a more prolonged course. Patients are usually immunocompetent or have a milder level of immunocompromise. There may be a frequent history of chronic sinusitis.</p><h4>Radiographic features</h4><h5>CT</h5><p>CT usually shows homogenous opacification of sinus affected compartments  (iso to hyper-attenuating to muscle tissue).</p><p>Other suggestive features include</p><ul>
  • -<strong>T2:</strong>  usually markedly hypointense signal</li>
  • -</ul>
  • +<strong>T2:</strong> usually markedly hypointense signal</li>
  • +</ul><h4>See also</h4><ul><li><a title="Sinonasal disease" href="/articles/sinonasal-disease">sinonasal disease</a></li></ul>

References changed:

  • 1. Busaba NY, Colden DG, Faquin WC et-al. Chronic invasive fungal sinusitis: a report of two atypical cases. Ear Nose Throat J. 2002;81 (7): 462-6. <a href="http://www.ncbi.nlm.nih.gov/pubmed/12149843">Pubmed citation</a><span class="auto"></span>
  • 2. Reddy CE, Gupta AK, Singh P et-al. Imaging of granulomatous and chronic invasive fungal sinusitis: comparison with allergic fungal sinusitis. Otolaryngol Head Neck Surg. 2010;143 (2): 294-300. <a href="http://dx.doi.org/10.1016/j.otohns.2010.02.027">doi:10.1016/j.otohns.2010.02.027</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20647138">Pubmed citation</a><span class="auto"></span>
  • 3. Aribandi M, McCoy VA, Bazan C. Imaging features of invasive and noninvasive fungal sinusitis: a review. Radiographics. 2007;27 (5): 1283-96. <a href="http://dx.doi.org/10.1148/rg.275065189">doi:10.1148/rg.275065189</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/17848691">Pubmed citation</a><span class="auto"></span>
  • 4. Vakharia KT, Durand ML, Hamilos DL et-al. An atypical case of chronic invasive fungal sinusitis and its management. Otolaryngol Head Neck Surg. 2010;142 (1): 150-1. <a href="http://dx.doi.org/10.1016/j.otohns.2009.06.743">doi:10.1016/j.otohns.2009.06.743</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20096246">Pubmed citation</a><span class="auto"></span>

Systems changed:

  • Head & Neck
Images Changes:

Image 1 CT (bone window) ( create )

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.