This presentation done by 5th medical student Any mistakes "if there" is from the sources that were written at the end.

1. fungal sinusitis
Lamyaa Anwar Alghafli
211523025

2. Objectives
Background
Types
Clinical presentation

3. Background:- Fungus
 Plant-like organisms that lack chlorophyll.
 Immune system suppression fungi invade the body.
 Why sinus ??!!

4. Background:- sinus
 It’s connected system of hollow cavities in the skull.
 They’re empty except for a thin layer of mucus.
 The purpose ?!!

5. Background
 The sinus cavities include:
Maxillary Frontal
Ethmoid Sphenoid

6. Types
Non
invasive
Allergic fungal
sinusitis
Sinus
mycetoma
Invasive
Acute invasive
fungal sinusitis
Chronic
invasive fungal
sinusitis
Granulomatous
invasive fungal
sinusitis

7. Types
Aspergillus Mucor.
 Invasive infections dark, thick, greasy material.
 Noninvasive infections symptoms of sinusitis.

8. Allergic Fungal Sinusitis
 Allergic mucin and polyps partially
calcified expansile mass obstructs
sinus drainage.
consistency of
peanut butter
mixed with sand
and glue.

9. Allergic Fungal Sinusitis
Clinical presentation:
Facial pressure nasal stuffiness cough Proptosis or eye
headache discharge muscle entrapment

10. Sinus mycetoma
Unilateral maxillary sinus
 Patients are immunocompetent.
Mucopurulent
cheesy, or claylike
material

11. Sinus mycetoma
Clinical presentation:
 Similar to sinusitis.
 Polyposis mainly on one side.
 The main report is blowing of gravel-like material.

13. Acute Invasive Fungal Sinusitis
immunocompromised patients diabetic patients
 Rapid spread vascular invasion orbit and CNS.
 They usually require hospitalization.

14. Acute Invasive Fungal Sinusitis
Very ill, Fever
Nasal discharge
Headache
Cough
Mental
statues
changes

15. Chronic invasive fungal sinusitis
Diabetic patients
 slowly progressive, low-grade invasive process.

16. Chronic invasive fungal sinusitis
Clinical presentation:
 Similar to sinusitis.
 Associated with:
Orbital apex syndrome:- decrease in vision and ocular
immobility due to a mass in the superior portion of the orbit.

17. Granulomatous invasive fungal sinusitis
 Normal immune status.
 Slow time course, and enlarging mass in the
cheek, orbit, nose, and sinuses.
Granuloma

18. Granulomatous invasive fungal sinusitis
Clinical presentation:
 Similar to sinusitis + proptosis.

20. Sources
 http://www.entnet.org/content/fungal-sinusitis
 http://emedicine.medscape.com/article/863062-overview
 http://www.webmd.com/allergies/picture-of-the-sinuses
 http://care.american-rhinologic.org/fungal_sinusitis
 http://emedicine.medscape.com/article/863062-overview#a0112
 http://www.patient.co.uk/health/acute-sinusitis
 http://www.mayoclinic.org/diseases-conditions/chronic-
sinusitis/basics/symptoms/con-20022039