What Is the Outcome of Untreated Acute Fungal Sinusitis?

Acute fungal sinusitis, also known as acute invasive sinusitis, is a rapidly developing fungal infection of the sinuses and surrounding tissue. It is difficult to treat and can be fatal.

Symptoms

• The symptoms are similar to bacterial sinusitis. Swelling and pressure of the face may be present, possibly leading to sinus headache. Thick nasal discharge, often yellow or green colored, is very common. This is accompanied by a "stuffed up" feeling that makes breathing difficult.

Effects

• The fungi spread rapidly into the sinuses and surrounding bone and tissues. Examination of the area will reveal inflammation and necrotic, or dying, tissue.

Treatment

• The treatment for this condition is surgery to remove affected tissue and mold spores. Antifungal medication must also be used to kill the fungi still present in tissues and reduce the recurrence of mold growth.

Outcomes

• Even with treatment, acute invasive sinusitis is often fatal. This is due in part to the fact that those who contract it often have compromised immune systems. The damage caused by the fungi is widespread and rapid, which makes timely treatment necessary for a better outcome.

Considerations

• Acute invasive sinusitis is similar to chronic invasive sinusitis, but it is more dangerous due to how quickly it spreads and kills tissue. Treatment is necessary to cure either type of sinusitis, however, so a doctor's recommendations should be followed for an optimal outcome.