2014, Number 3
Yeast presence in the nasal cytology as possible cause of chronic rhinosinusitis
Full text
Language: Spanish
References: 15
Page: 100-104
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ABSTRACT
introduction. Yeasts in nasal cytology still have no clinical significance, some studies have considered normal flora but contro versy exists as to the pathological significance.study objective. To identify the presence of yeast in the nasal cytology in patients with chronic rhinosinusitis.
material and methods. Nasal smears were performed in asymptomatic patients (control group) and in patients with chronic rhinosinusitis (nasal blockage/nasal congestion, anterior/posterior rhinorrhea, pain/facial pressure, total or partial loss of sense of smell in a period not less than 12 weeks). All samples were inoculated directly in Sabouraud Chromagar culture media cultures. With the aim of correlating the presence of yeast in the nasal citology with nasal symptoms patients with symptoms and yeast where compared with symptomatic patients without yeast.
results. A total of 60 smears, 30 asymptomatic and 30 patients with chronic rhinosinusitis, in the control group no yeasts were observed. In the group of chronic rhinosinusitis group yeast were observed in a total of 11 patients (36.6%) and of these 8 (72.7%) had smears with yeast and eosinophilia and 3 (27.3%) Yeast smears with eosinophilia and lymphocytosis. In the symptomatic group with yeast 100% (n = 11) had symptoms classified as moderate-severe-persistent. In the symptomatic group without yeast (n = 19), 16 (84.2%) had symptoms classified as moderate-to-severe intermittent and in 3 cases (15.7%) persistent-mild symptoms.
conclusions. This pilot study revealed a significant relationship between patients with chronic rhinosinusitis and the presence of yeasts (P = .001) and also observed was the increased severity of the symptoms in the presence of yeast compared with symptomatic patients without yeast.
REFERENCES
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Salih Canakcioglu, MD, PhD, Rauf Tahamiler, MD, Gkioukxel Saritzali, MD, Yalcin Alimoglu, MD, Huseyin Isildak, MD, Melih Guven Guvenc, MD, Gul Ozbilen Acar, MD, Ender Inci, MD. “Evaluation of nasal cytology in subjects with chronic rhinitis: a 7-year study”. American journal of Otolaryngology, Head and neck surgery, 2009, 30: 312-317.