Current Allergy and Asthma Reports

, Volume 13, Issue 2, pp 224–228

Role of Fungi in the Pathophysiology of Chronic Rhinosinusitis: An Update

SINUSITIS (ML KOWALSKI, SECTION EDITOR)

DOI: 10.1007/s11882-012-0332-x

Cite this article as:
Montone, K.T. Curr Allergy Asthma Rep (2013) 13: 224. doi:10.1007/s11882-012-0332-x

Abstract

The pathogenesis of chronic rhinosinusitis (CRS) is multi-factorial with an infectious process likely at least partly involved. While bacteria have been proposed to play a critical role in CRS, fungi have also been implicated by some investigators, although the pathogenesis of fungi in CRS represents a significant controversy among rhinologists. Fungal-associated factors believed to be involved in CRS include the ability of fungi to induce significant inflammatory reactions by different means through inducing localized cytokine production in the sinonasal tract. Despite these observations, randomized, controlled studies on CRS patients using antifungal therapy have not resulted in significant improvement in CRS patients. The role of fungi in the pathogenesis of CRS remains controversial.

Keywords

Chronic rhinosinusitisFungiAllergic fungal rhinosinusitisEosinophilic mucinTh2EosinophilsPathogenesisPathophysiologyAntifungal therapyTreatment

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Division of Surgical Pathology, Department of Pathology and Laboratory MedicinePerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA