
Fungal rhinosinusitis is an inflammatory disease of the nose that may lead to life‐threatening complications. This study compared the bacterial and fungal microbiomes of patients with invasive fungal rhinosinusitis (IFRS) and non‐IFRS (NIFRS). Targeted metagenomics identified Aspergillus spp. as the predominant fungus in both IFRS and NIFRS patients. Based on phylum and genera level diversity and abundance differences, significant differences in operational taxonomic units (OTUs) (Fusobacterium, Prevotella, Pseudomonas, Neisseria and Streptococcus) were more abundant in NIFRS compared with IFRS patients. This is the first study to analyse bacterial and fungal microbiomes in patients with IFRS and NIFRS via ITS1 and 16S genomics sequencing. Bacterial microbiomes from patients with IFRS demonstrated dysbiosis compared to those from patients with NIFRS.
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