Allergic Fungal Rhinosinusitis Caused by Aspergillus flavus

Mohamed Hamid, Sitt Ahmed, Abdulmoneim Jamil, Ali Al-Qahatani

College of Medicine, King Khalid University, Saudi Arabia

Correspondence to: Mohamed Hamid, 61321, Abha, Aseer, Saudi Arabia; email:


Allergic fungal rhinosinusitis is a chronic inflammatory disorder of the sinonasal mucosa, with or without nasal polyps, which is frequently associated with microbial colonization including fungi. A case of fungal rhinosinusitis in Aseer area, Saudi Arabia, is described. The patient was admitted with common symptoms including nasal obstruction accompanied by itching, sneezing, rhinorrhea, epistaxis and recurrent headache. The patient was examined clinically and by CT scan. Nasal sinus swabs and a biopsy specimen were submitted for microbiological analysis. Polyps were surgically removed during functional endoscopic sinus surgery. Histopathology showed the presence of acute and chronic inflammatory cell infiltrates (rich in eosinophils) in the covering epithelium layers. Aspergillus flavus was isolated and identified from the lesions. The patient was discharged after showing good recovery, and home follow-up revealed no recurrences.


Key words: Paranasal sinuses, Polypoidal disease, Rhinorrhea, Fungi, Endoscopic sinus surgery

Ann Afr Surg. 2019; 16(2):75–77


Conflicts of Interest: None

Funding: None

© 2019 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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