Author/Editor | Lanišnik, Boštjan; Didanovič, Vojko | |
Title | Akutni invazivni aspergilozni rinosinusitis pri bolnici z akutno mieloično levkemijo | |
Translated title | Acute invasive Aspergillus rhinosinusitis in patient with acute myeloblastic leukemia | |
Type | članek | |
Source | Med Razgl | |
Vol. and No. | Letnik 43, št. Suppl 3 | |
Publication year | 2004 | |
Volume | str. 187-90 | |
Language | slo | |
Abstract | Invasive fungal infections are prone to develop in imunocompromised organism. Invasive mycotic rhinosinusitis is rare, but should always be excluded in imunocompromised patients presenting with symptoms of sinonasal infection. Blind biopsies of the nasal mucosa from the typical sites are the diagnostic method of choice. Therapy with Amphotericin B or voriconasole must be started immediately together with endoscopic removal of all necrotic tissue. If possible imunosupression must be reversed. Regardless the intensive therapy mortality rates are exceeding 50%. | |
Summary | Invazivne glivične okužbe nastanejo v organizmu, ki je imunsko oslabljen, bodisi zaradi bolezni same ali zaradi zdravil. Invazivna glivična okužba obnosnih votlin je redka, vendar moramo ob znakih rinosinusitisa pri imunsko oslabljenem bolniku nanjo vedno pomisliti in jo dokazali s histološkim pregledom tkiva, odvzetega na slepo s tipičnih mest. Takoj je treba pričeti z zdravljenjem z Amfotericinom B ali vorikonazolom ter kirurško odstraniti nekrotično tkivo. Če je mogoče, je treba odstraniti vzrok imunske pomanjkljivosti. Kljub vsem tem ukrepom je smrtnost višja od 50%. | |
Descriptors | LEUKEMIA, MYELOCYTIC, ACUTE ASPERGILLOSIS RHINITIS SINUSITIS AMPHOTERICIN B MIDDLE AGE BIOPSY |