关键词: endoscopic sinus surgery fungus ball granulomatous invasive fungal sinusitis pterygopalatine fossa voriconazole

Mesh : Humans Female Aged Antifungal Agents / therapeutic use Sphenoid Sinusitis / microbiology complications surgery diagnosis Voriconazole / therapeutic use Sphenoid Sinus / microbiology diagnostic imaging Headache / etiology Tomography, X-Ray Computed

来  源:   DOI:10.1177/00034894241253961

Abstract:
UNASSIGNED: Granulomatous invasive fungal sinusitis (GIFS) is a rare and life-threatening disease, whereas fungus ball (FB) is the most common form of noninvasive fungal sinusitis. Both GIFS and FB primarily develop in immunocompetent patients, with the former associated with higher mortality and morbidity.
UNASSIGNED: A chart review and review of the literature.
UNASSIGNED: We present the case of a 77-year-old woman with mixed fungal sinusitis who was successfully treated with voriconazole.
UNASSIGNED: GIFS and FB can coexist in extremely rare cases, known as mixed fungal sinusitis; however, the diagnosis and subsequent treatment of mixed fungal sinusitis can be delayed because of a lack of awareness of the underlying concept. Therefore, it is crucial for clinicians to recognize the concept of mixed fungal sinusitis.
摘要:
肉芽肿性侵袭性真菌性鼻窦炎(GIFS)是一种罕见且危及生命的疾病,而真菌球(FB)是最常见的非侵袭性真菌性鼻窦炎。GIFS和FB都主要在有免疫能力的患者中发展,前者与较高的死亡率和发病率相关。
图表回顾和文献回顾。
我们介绍了一例77岁女性混合性真菌性鼻窦炎,并成功使用伏立康唑治疗。
GIFS和FB在极少数情况下可以共存,被称为混合真菌性鼻窦炎;然而,由于缺乏对潜在概念的认识,混合真菌性鼻窦炎的诊断和后续治疗可能会延迟。因此,临床医生认识到混合真菌性鼻窦炎的概念至关重要。
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