Diagnosis of Fungal Sinusitis; Is Fungal Culture a Must?

Authors

  • Mubashrah Aziz Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
  • Sadia Mailk Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
  • Muniba Manzoor Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sadaf Aziz Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Munazzah Aziz Dr. Akbar Niazi Teaching Hospital, Islamabad Pakistan
  • Muzammil Manzoor Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i2.8188

Keywords:

Computed tomography, Functional endoscopic sinus surgery, Fungal sinusitis

Abstract

Objective: To determine the diagnostic accuracy of computed tomography (CT) of paranasal sinuses (PNS) in detecting fungal sinusitis keeping fungal culture as the gold standard.

Study Design: Cross-sectional validation study.

Place and Duration of Study: Department of Radiology, Combined Military Hospital, Rawalpindi Pakistan, from Jun 2018 to Jun 2019.

Methodology: A total of 323 patients of either gender were included in the study (aged from 10-70 years). All the patients underwent plain CT scans of paranasal sinuses, and the CT scan findings were reported and recorded on pre-designed proforma. Results were then compared with the culture report of each patient respectively.

Results: Among all the patients undergoing CT scans, paranasal sinuses 177 were True Positives, while 07 were False Positives. Out of a total of 139 CT scan-negative patients, 6 (False Negative) had fungal sinusitis on culture, whereas 133 (True Negative) had no fungal sinusitis on culture (p=0.001). Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of CT scan Paranasal sinuses were 96.72%, 95.0%, 96.20%, 95.68% and 95.98%,respectively.

Conclusion: CT scan of paranasal sinuses is a highly sensitive and accurate non-invasive investigation in detecting fungal sinusitis.

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Published

18-04-2023

How to Cite

1.
Aziz M, Mailk S, Manzoor M, Aziz S, Aziz M, Manzoor M. Diagnosis of Fungal Sinusitis; Is Fungal Culture a Must?. Pak Armed Forces Med J [Internet]. 2023 Apr. 18 [cited 2024 May 26];73(2):418-21. Available from: https://pafmj.org/PAFMJ/article/view/8188

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