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上颌窦炎和真菌感染。

Maxillary sinusitis and fungal infection.

作者信息

Hassan M, Khan M H, Ahmed A U, Morshed M M, Chakraborty M R, Ahmed K

机构信息

Shahid Suhrawardy Medical College, Sher-e-Bangla Nagar, Dhaka, Bangladesh.

出版信息

Mymensingh Med J. 2011 Jul;20(3):459-62.

Abstract

This cross sectional study was done to identify the fungal etiology of maxillary sinusitis. This study was done in the department of Otolaryngology & Head-Neck Surgery, Shahid Suhrawardy Medical College Hospital, Dhaka, Bangladesh. The study period was 5 years (January 2003 to December 2007). Total 63 patients who were diagnosed clinically and radiologically as a maxillary sinusitis were enrolled in this study. All the patients were included randomly. Among 63 patients 8(12.69%) patients had laboratory proved fungal maxillary sinusitis. Collection of the laboratory specimen was done from antral wash out and biopsy for histopathology was taken by endoscopic surgery. By histopathological and fungal stain revealed noninvasive type of fungal infection in all cases. Post nasal drip (100%), Headache (100%), Nasal obstruction (65% cases) were the main presenting symptoms in case of fungal maxillary sinusitis. Anti fungal treatment along with systemic antibiotic was given in case of proven maxillary sinusitis and 100% cure rate was observed after treatment.

摘要

本横断面研究旨在确定上颌窦炎的真菌病因。该研究在孟加拉国达卡沙希德·苏赫拉瓦迪医学院医院耳鼻喉科及头颈外科进行。研究期为5年(2003年1月至2007年12月)。本研究共纳入63例经临床和放射学诊断为上颌窦炎的患者。所有患者均随机纳入。63例患者中,8例(12.69%)经实验室证实为真菌性上颌窦炎。实验室标本通过窦腔冲洗采集,组织病理学活检通过内镜手术获取。组织病理学和真菌染色显示所有病例均为非侵袭性真菌感染。真菌性上颌窦炎的主要症状为鼻后滴漏(100%)、头痛(100%)、鼻塞(65%)。确诊为上颌窦炎的患者给予抗真菌治疗及全身抗生素治疗,治疗后治愈率达100%。

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Burden of serious fungal infections in Bangladesh.孟加拉国严重真菌感染的负担。
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