Nasal septal perforation in fungal rhinosinusitis: A case report

Background: Fungi are ubiquitous in our environment, they can be found in healthy or diseased mucus. Symptoms of fungal rhinosinusitis are different depending on their immunological status. Diagnostic based on history, physical examination, CT scan and histopathological findings. Objective: To report a case of fungal rhinosinusitis with complications. Case Report: A man, 56-year-old with a chief complaint of bad odor in the nose in the last 3 months. CT scan showed bone erosion in the maxillary sinus. Intraoperative found fungus ball in nose cavities and perforated nasal septal. Clinical question: What is the management of nasal septal perforation in fungal rhinosinusitis? Methods: Evidence-based literature study of nasal septal perforation in fungal rhinosinusitis. Result: Treatment for fungal rhinosinusitis is surgery. Antifungal and steroid therapy can be added to reduce recurrence. Conclusion: Debridement surgery is needed for fungal rhinosinusitis. A radiologic test is important to find extra sinuses expansion and bone erosion. Nasal septal perforation is treated by eliminating the cause, applying ointment, saline solution spray, and surgical.