Who here has had ENT consults or surgery, directly related to fungal sinusitis? If so could you tell us about it, or PM me?
I did after I noticed I had sinusitis like symptoms about a year ago. If you trawl through this thread you'll see that I prescribed to the nasal fungal theory for a while but in the end it was a dead-end for me.
I did however get some results from an ENT. A CT scan showed muscosal thickening indicating sinusitis but no problems with physical blockages in the sinuses - so bone cavities were normal size. If you have frequent sinusitis this might be a good thing to rule out.
None of the tests I had showed any evidence of a fungal infection - the ENT was certain that it would show up on the CT scan and the swabs turned up negative for fungal growth too. The lab was instructed to let the plates incubate for weeks just be sure.
The swabs done that showed a high colonisation of Staph aureus. Not the superbug variety fortunately but the ENT suggested that the domination of Staph in the nose might be causing a over-reactive immune response.
Some people here have suggested that the superantigens produced by staph might be aggravating the immune system. While it probably isn't the cause of ME/CFS if a staph overgrowth is making you feel worse, it might be worth treating.
I took a few courses of antibiotics that the Staph was sensitive to and that helped quite a bit but it didn't completely clear it up. I also started eating more fermented vegetables, fermented dairy (sheep/goats yoghurt and kefir). I also went further than this and snorted some of my home-made kefir with certain probiotic bacteria into my nose after I did a saline rinse with a neti pot to clear mucous out of my sinuses so the probiotics would be able to adhere to my sinuses. Since then I haven't had any major issues with sinuses and it seems like my allergies are less than they used to be to.
Some scientists have suggested links between microbial diversity in the nose & sinus and allergies/sinusitis. It is something that I think has been overlooked until now but there is more and more interest in finding probiotic bacteria strains that either kill or pacify the more aggressive and harmful pathogenic bacteria that might have colonised our guts and other cavities.
I have no doubt that one day we will be able to buy sinus nasal spray pumps with probiotic strains
But to answer your question you can mention to an ENT that you have had long-term sinusitis and ask for a CT scan and swabs etc... You could mention the possibility of a fungal infection but it's best to let the ENT doctor do the tests and for the the test results speak for themselves. I'd think that if a fungal infection in the sinuses was that significant to be the root cause of your ME/CFS then there should be some evidence that it is there.