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Diagnosis, Prognosticators, and Management of Acute Invasive Fungal Rhinosinusitis: Multidisciplinary Consensus Statement and Evidence-Based Review with Recommendations.

Lauren T RolandIan M HumphriesChristopher H LeJennifer M BabikChristopher Eric BaileyLilangi S EdiriwickremaMonica FungJoshua A LiebermanKelly R MaglioccaHannah H NamNeville W TeoPenelope C ThomasBlair A WinegarJack L BirkenbeuelAbel P DavidKhodayar GoshtasbiPatricia G JohnsonElaine C MartinTheodore V NguyenNeil N PatelHannan A QureshiKaijun TayMilind VasudevWaleed M AbuzeidPeter H HwangAria JafariMatthew S RussellJustin H TurnerSarah K WiseEdward Cheng-Lung Kuan
Published in: International forum of allergy & rhinology (2023)
Based on the currently available evidence, judicious utilization of a combination of history and physical examination, laboratory and histopathologic techniques, and endoscopy provide the cornerstone for accurate diagnosis of AIFS. In addition, AIFS is optimally managed by a multidisciplinary team via a combination of surgery (including resection whenever possible), antifungal therapy, and correcting sources of immunosuppression. Higher quality (i.e., prospective) studies are needed to better define the roles of each modality and determine diagnosis and treatment algorithms.
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