Epstein Victoria A, Kern Robert C
Department of Otolaryngology - Head and Neck Surgery, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Searle Building 12-561, Chicago, IL 60611, USA.
Otolaryngol Clin North Am. 2008 Jun;41(3):497-524, viii. doi: 10.1016/j.otc.2008.01.001.
Acute fulminant invasive fungal sinusitis in an immunocompromised host and bacterial rhinosinusitis with intracranial or orbital extension are challenging to manage and constitute true otolaryngic emergencies. In the absence of rapid diagnosis and treatment, these diseases can be fatal. In this article, the complications of bacterial rhinosinusitis are divided into three categories: local, orbital, and intracranial. They vary in their characteristics and severity according to their location, duration, and specific symptoms. This article reviews the pathophysiology, clinical presentation, diagnosis, and treatment options of acute invasive fungal sinusitis rhinosinusitis, the most common subtype in the United States.
免疫功能低下宿主的急性暴发性侵袭性真菌性鼻窦炎以及伴有颅内或眶内扩展的细菌性鼻窦炎在治疗上具有挑战性，属于真正的耳鼻喉科急症。若不能迅速诊断和治疗，这些疾病可能会致命。在本文中，细菌性鼻窦炎的并发症分为三类：局部、眶部和颅内。它们的特征和严重程度会因位置、病程及具体症状而有所不同。本文回顾了美国最常见亚型的急性侵袭性真菌性鼻窦炎的病理生理学、临床表现、诊断及治疗选择。
