[Allergic fungal rhinosinusitis: one case and literature review].
OBJECTIVE
To investigate the presentation and the management of allergic fungal rhinosinusitis (AFRS).


METHODS
One case of AFRS was reported and the relevant literatures were reviewed. CT scan showed high-attenuation like "cloud and mist", Charcot-Leyden crystals and fungal hyphae were found in nasal smear.


RESULTS
The patient removed after a combined therapy of endoscopic sinus surgery, steroids and local antifungal drugs.


CONCLUSIONS
The diagnosis of AFRS depends on history, the characteristics of CT scanning, pathology, mycologic and immunologic test. The management of surgery, systemic immunotherapy, local antifungal drugs and longer follow up is very important.
Zhang
Geng
G
Department of Otorhinolaryngology, the General Hospital of Tianjin Medical University, Tianjin, 300052, China.
Ni
Changbao
C
Xu
Yi
Y
Zhou
Huifang
H
D005658:Fungi / Q000302:isolation & purification / Q000472:pathogenicity; D006801:Humans; D008297:Male; D009181:Mycoses / Q000175:diagnosis* / Q000628:therapy; D012221:Rhinitis, Allergic, Perennial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D055815:Young Adult