A RARE CASE OF RHINITIS CASEOSA AND FUNGAL SINUSITIS

DR.M.K.RAJASEKAR; DR.SRIDHARA NARAYANAN; DR.SHAHEERA TARNOOM

Volume : VIII, Issue : IX, September - 2019

A RARE CASE OF RHINITIS CASEOSA AND FUNGAL SINUSITIS

Dr. M. K. Rajasekar, Dr. Sridhara Narayanan, Dr. Shaheera Tarnoom

Abstract :

Rhinitis caseosa also called as nasal cholesteastoma is a misnomer. The essential criteria for diagnosing rhinitis caseosa are -1) nasal polyp and offensive purulent discharge and cheesy material ; 2) clinical or radiological evidence of bony expansion of the sinus walls and 3) demonstration of heterogenous opacification of the paranasal sinuses with areas of hyper-attenuation. Fungal sinusitis is a distinct clinical entity characterized by inflammation of the sinus mucosa caused by fungal infection like aspergillus, mucormycosis, candida, scedosporium, pencillium. We hereby present a case of 68 years old male presented to OPD with left sided nasal obstruction, nasal discharge and anosmia, for 4 months. Patient was evaluated and underwent Microdeider assisted polypectomy with FESS. Early recognition and prompt initiation of combined medical treatment and surgical intervention done to prevent Its aggressive nature and propensity for orbital and intracranial extension