Allergic fungal rhinosinusitis in children

July 5, 2012 by Ross Shockley, MD; Soham Roy, MD
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Pediatric Otolaryngology Clinic

Allergic fungal rhinosinusitis most often occurs in adolescents or young adults who exhibit nasal obstruction, congestion, purulent or clear rhinorrhea, anosmia, and headache--classic manifestations of chronic sinusitis.

     An 11-year-old white boy was referred for evaluation of severe, chronic, right-sided nasal congestion of 2 years’ duration. He had a long history of allergic rhinitis treated with immunotherapy, nasal steroids, antihistamines, and topical nasal decongestants. As the patient’s nasal congestion had worsened over the previous several months, he was treated with a 10-day course of prednisone, 3 courses of oral antibiotics, and saline irrigations without significant relief.

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CitationEar Nose Throat J. 2012 July;91(7):280-281