Sinus Aspergillosis and allergic fungal sinusitis

Sinonasal mycosis is increasingly reported in the literature. Four clinicopathologic forms have been recognized, the fulminant invasive form, the chronic indolent sinusitis, the fungus ball and the newly described, allergic fungal sinusitis [AFS]. The experience in the management of 16 instances, in 14 patients, with fungal sinusitis was presented. The presence of unilateral nasal polypi was particularly suspicious and CT scan picture was characteristic. All the patients were treated surgically with adjuvant chemotherapy. Long-term postoperative follow up with CT scan is highly recommended

Actinomycosis of the adenoids: a histopathological study

One hundred and forty adenoidectomy specimens were examined for the presence of actinomycosis colonies. Hematoxylin and Eosin, P.A.S. and gram stain were used. Complete clinical evaluation was performed for all patients pre-operatively. Colonies could be demonstrated in 9.2 percent of the specimens. More than 30 percent of them showed tissue invasion with surrounding chronic inflammatory reaction. Halitosis was a common complaint in about 40 percent of patients with positive specimens. Actinomycosis is most probably a contributing factor for this symptom