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Najafzadeh, Mohammad J; Jalaeian Samani, Karim; Houbraken, Jos; Alizadeh, Majid; Fata, Abdolmajid; Naseri, Ali; Zarrinfar, Hossein; Bakhshaee, Mehdi
Current medical mycology 3, Issue: 3Journal Article
Rhinosinusitis is a common disorder, influencing approximately 20% of the population at some time of their lives. It was recognized and reported with expanding recurrence over the past two decades worldwide. Undoubtedly, correct diagnosis of fungi in patients with fungal rhinosinusitis affects the treatment planning and prognosis of the patients. Identification of the causative agents using the standard mycological procedures remains difficult and time-consuming. Based on clinical and radiological parameters, 106 patients suspected of fungal rhinosinusitis were investigated in this cross-sectional prospective study from April 2012 to March 2016 at an otorhinolaryngology department. In this study, internal transcribed spacer (ITS) and calmodulin ( ) sequencing were respectively validated as reliable techniques for the identification of Mucorales and to species level (both agents of fungal rhinosinusitis). Of these, 63 (59.4%) patients were suspected of allergic fungal rhinosinusitis (AFRS), 40 (37.7%) patients suspected of acute invasive fungal rhinosinusitis (AIFRS), and 3 (2.8%) patients suspected of mycetoma. In patients suspected of AFRS, AIFRS, and mycetoma only 7, 29, and 1 had positive fungal culture, respectively. After ITS and sequencing, was the most common species isolated from non-invasive forms, and and were more frequently isolated from invasive forms. is the most common agent of fungal rhinosinusitis in Iran, unlike most other reports from throughout the world stating that is the most frequent causative agent of this disease.
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