Global distribution of fungal rhinosinusitis - PubMed
4 hours ago
- #Aspergillus species
- #fungal rhinosinusitis
- #global epidemiology
- Fungal rhinosinusitis (FRS) includes subtypes with different epidemiology and outcomes.
- A systematic review and meta-analysis included 2,031 studies (40,860 cases, 77 countries).
- Non-invasive forms accounted for 60% of cases, mainly fungal ball (35%) and allergic FRS (25%).
- Invasive subtypes were more frequent in tropical climates, with rhino-orbito-cerebral mucormycosis being hyperacute.
- Invasive FRS differed in risk factors (diabetes and COVID-19 vs. leukemia) and geography.
- Aspergillus species appeared in ~60% of cases: A. fumigatus in temperate zones, A. flavus in dry/tropical regions.
- Non-invasive FRS had high surgical cure rates (>64%), while invasive forms had high morbidity and mortality.
- FRS is a significant global health concern, with invasive subtypes causing major issues in tropical regions.
- Aspergillus species show distinct geographic and climatic preferences, highlighting the need for climate-informed diagnostics.