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 159
- Downloads 0
Histopatologia i zmiany przedrakowe w raku krtani
Carcinoma of the larynx is the one of the most common malignant deaseases. Squamouscell carcinoma are 95% of the laryngeal malignancy, the other malignant neoplasmsconsist only 5% of them. In this study we present morpho...
Second primary malignancies of the Head and Neck region: A case report
Billroth was the first who introduced the concept that a patient could develop cancer twice. The last two decades have seen a widespread increase of the problem of second primary tumors (SPT). This fact led us to concern...
Clinical and epidemiological analysis among patients with laryngeal cancer treated in the Department of Otolaryngology at the Voivodal Specialist Hospital in Rzeszów between 1996 and 2005
Cancer of the laryn x is an importa nt epidemio logical and oncolog ical problem. According to the National Cancer Registry, 2075 new cases of laryngeal canc er were recorded in 2008 in Poland, which accounts for ap prox...
Fourth Phonak European Pediatric Amplifiation Conference, Istambul 14–15 Nov. 2011
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...