Orbital complications of surgical treatment of fungal sinusitis after heart transplantation
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2014, Vol 3, Issue 2
Abstract
On the one hand the develo pment of trans plantation is an opp ortunity for patients, but on the other hand – a challenge for the healthcare system. Patient after trans plantation, especially in result of immunosuppressio n, is exposed for opportunistic infections, including the fungal sinusitis. In the literature there are only a few reports on invas ive sinusitis in people after heart trans plantation, in the opposed to many retrospective series studies of seve ral hu ndred patients suffe ring from chronic sinusitis in the course of leukemia or a certain nu mber of paper s concerning the complica tions of sinuses after kidney and – less often – liver trans plantation. A 41-year-old man with six years after autologous bone marrow trans plantation due to Hodg kin's disease, and four years after heart transplantation because of drug-induced cardiomyopathy, underwent ethmoidectomy as the treatment of fungal sinusitis. In the postoperat ive period there were two orbital complication s: abscess of the right orbit on the first day after surgery and preorbital abscess at the same side, on the sixth day afterthe initial treatment. Abscesse s were successfull y drained , doses of immu nosuppressive drugs were temporary reduced, and the patient was discharg ed home in good general condition. Many factors can affect the occurrence of complication s in the trea tment of sinusitis in the case of org an transplant. A multitude of problems of such patient requires special multidisci plinary care and individualized trea tment that should be performed in experienced tertiary center.
Authors and Affiliations
Emilia Karchier, Krzysztof Morawski, Tomasz Gotlib, Kazimierz Niemczyk
Keywords
Related Articles
- EP ID EP51244
- DOI -
- Views 186
- Downloads 0
Wywołane potencjały słuchowe rejestrowane w opcji szybkiej prezentacji bodźca
Precyzyjna diagnostyka odbiorczych uszkodzeń narządu słuchu jest nadal problematyczna ze awzględu na ograniczenia stosowanych do tej pory metod. W prezentowanej pracy przedstawiono główne założenia nowej metody badania w...
Plunging ranula in children
Objective: Plunging ranula represents mucous extravasation from the sublingual salivary gland extending to the submandibular space. Although the majority of patients present in the second or third decade of life, it rare...
Zespól Eagle'a – opis przypadku
The authors describe the case of 43-year-old male, with cervical pain in whom im aging with CT conclusively esta blished the diagnosis of Eagle Syndrome. Eagle Syndrome occurs due to elongation of the styloid process or...
Oral Erythroleukoplakia – A Potentially Malignant Disorder
Erythroleukoplakia or speckled leukoplakia is a painless lesion characterized by an association of white areas interspersed with red areas, resistant to scratching and with potential for malignancy. It appears most frequ...
Abriks's tumor in a teenager's tongue - a case report
Granular cell tumor is benign neoplasm rarely diagnosed among young children and adolescents. The tumor developed commonly within mucous membrane of upper airways, but precise etiology is not known. Treatment is based on...