Grzybica zatok przynosowych — trudności w diagnostyce i leczeniu
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Introduction: The aim of this work was to reveal the problems of diagnostics and treatments of fungal rhinosinisitis. Material and methods: Material includes 6 patients (4 women and 2 man, average age 55) treated between years 2005-2010 in the ENT Department of Silesian Medical University in Katowice. Ali patients were treated by surgery in general anesthesia. Ali patients had performed CT scan of paranasal sinus before surgical procedures. Removed materials were send to a histological and microbiological examination. Results: In the studied materia) were 5 cases of noninvasive fungal rhinosinusitis (3 case of a fungal rhonosinusitis of the right and 2 of the left maxillary sinus) and 1 case of an invasive fungal rhinosinusitis that coused destroyment of apper and lower wali of the maxillary sinus and penetration to the right orbital. Ali patients underwent external approach surgery under general anesthesia. Ali of examinations the histological and microbiological confirmed fungal etiology (Aspergillus). A possible factor in the development of fungal sinusitis in one patient was previously treated pulmonary aspergillosis, but in a patient with invasive fungal sinusitis probably played a role in type 2 diabetes and old age. Pharmacotherapy included in a patient with invasive fungal sinusitis (Ampho-tericin B®) and in a patient with a history of lung Aspergillozie (Orungal6). The results of the control CT scan obtained full recovery. Conclusion: Fungal infection of paranasal sinuses is a problem located at the intersection of many medical specialties. Force look at the patient in a multidisciplinary. Do not forget that it may be the final diagnosis as well as a symptom of immune deficiency, or metabolic disorders.
Authors and Affiliations
Małgorzata Witkowska, Jarosław Markowski, Tatiana Gierek, Monika Świderek, Jacek Pająk, Ewa Zielińska-Pająk, Przesmysław Pencak, Tomasz Lepich
Keywords
Related Articles
- EP ID EP52279
- DOI -
- Views 114
- Downloads 0
Mnogie i rodzinne przyzwojaki głowy i szyi – przegląd piśmiennictwa i opis dwóch przypadków
Paragangliomas are rare, mostly benign tumors, orginating from the paraganglionic tissue associated with sympathetic and parasympathetic nervous system. In the head and neck they develop mainly in the carotid bifurcation...
Polimorfizm genów metaloproteinaz MMP-1 i MMP-2 w ocenie predyspozycji do zachorowania na raka krtani
Odontogenic inflammations of head and neck area treated in the Department of Otolaryngology in St. Łukasz Regional Hospital – five years observation
Introduction: In the ethology of inflammations within the head and neck area, odontogenic ethology still plays an important role. Early recognition, diagnosis and management of odontogenic infections are requisites for a...
Treatment of invasive rhinosinusitis – the case report
The frequency of fungal etiology of sinusitis contains between 9 and 49 % according to different authors. Fungal rhinosinusitis has been divided into noninvasive and invasive forms. Noninvasive infections include fungus...
Objawy otolaryngologiczne u chorych leczonych z powodu chorób przenoszonych przez kleszcze
Wstęp: Choroby przenoszone przez kleszcze stały się w ciągu kilkunastu ostatnich lat bardzo poważnym problemem. Najbardziej rozpowszechnionymi są borelioza oraz kleszczowe zapalenie mózgu (KZM). W ostatnim czasie znacząc...