1 Introduction
Fungal sinusitis is inflammation of the mucosal lining of the paranasal sinuses caused by fungal infection [1]. It is differentiated into invasive and noninvasive fungal infections, with the former invading epithelial cells and the latter usually limited to superficial epithelial cells [2]. Immunocompromised and immunosuppressed individuals are vulnerable to fungal sinusitis [3,4]. Fungal sinusitis can also be classified into four types: acute (invasive), chronic (invasive), fungal ball and allergic fungal sinusitis. The pathological, immunological, and clinical features also vary among these subtypes. Antibiotic consumption, corticosteroid therapy, and diabetes mellitus are major predisposing factors for the development of fungal sinusitis [5-7]. Fungal balls are usually noninvasive and might become invasive if a patient is immunocompromised. The identification of this condition relies primarily on clinical symptoms, endoscopic findings, imaging studies, examination for pathogenic microorganisms, and histopathological analysis. Surgical debridement, antifungal agents and systemic factor treatment are regarded as therapeutic strategies [8-10]. However, these treatment modalities face significant challenges. Data have established that significant disease relapse occurs even after surgical intervention [11,12]. In certain cases, patients lose their vision even after aggressive surgical debridement [13]. There is an inconsistency of evidence supporting antifungal therapy for different subtypes of fungal sinusitis, and the risk of antifungal sinusitis outweighs the benefit in the management of chronic rhinosinusitis [14]. Current challenges in the treatment and understanding of fungal sinusitis demand the development of potential novel strategies [15-19]. In this regard, we present a case report of fungal sinusitis successfully managed with standalone Ayurveda treatment [20-22].